Mira Wiswell

NPI #1003214867 in Murray, Utah

Provider Information

NPI Number: 1003214867
Entity Type: Individual
Name: Mira Wiswell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Dec 10, 2014
Last Updated: Dec 10, 2014

Practice Location

Address: 5965 S 900 E
City: Murray
State: Utah
ZIP Code: 84121-1720
Phone: (801) 263-7138

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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