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Individual
MR. KENNETH SCOTT MILLER
Active
Individual
MR. KENNETH SCOTT MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33002131A
IN
1041C0700X
Clinical Social Worker
34003388A
IN
1041C0700X
Clinical Social Worker
Primary
6801084709
MI
Other
Enumeration date
06/10/2006
Last updated
02/08/2024
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