Individual
SANDRA EILEEN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1034 S BRENTWOOD BLVD STE 555, SAINT LOUIS, MO 63117-1265
(501) 908-5898
Mailing address
1422 ANNA AVE, SAINT LOUIS, MO 63130-1611
(501) 908-5898
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2015020175
MO
Other
Enumeration date
08/17/2011
Last updated
12/20/2019
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