Individual
CARRIE A MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW, RCSW-I
Contact information
Practice address
5201 37TH AVE N, SAINT PETERSBURG, FL 33710-2022
(317) 313-7525
Mailing address
5201 37TH AVE N, SAINT PETERSBURG, FL 33710-2022
(317) 313-7525
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
NA
—
Enumeration date
05/04/2022
Last updated
05/04/2022
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