Individual
MARK MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
3810 WINCHESTER RD, MEMPHIS, TN 38118-6045
(901) 369-1420
(901) 369-1433
Mailing address
6505 AMES CV, BARTLETT, TN 38134-3818
(901) 384-8748
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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