Individual
SHARON L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LIMHP
Contact information
Practice address
301 S WAY AVE, SUTTON, NE 68979
(402) 773-0115
(402) 773-0119
Mailing address
301 S WAY AVE, PO BOX 486, SUTTON, NE 68979-2134
(402) 773-0115
(402) 773-0119
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6392
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97013
BLUE CROSS BLUE SHIELD NE
NE
Enumeration date
08/17/2005
Last updated
05/14/2018
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