Individual
DOMINIC MARCO MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3450 N 3RD ST, PHOENIX, AZ 85012-2331
(602) 265-8338
Mailing address
PO BOX 1671, PHOENIX, AZ 85001-1671
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-21218
AZ
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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