Individual
KIMBERLY SUE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10801 MONROE RD, MATTHEWS, NC 28105-8335
(704) 733-7108
Mailing address
2012 PLEASANT GROVE CH RD, MARSHVILLE, NC 28103-9052
(704) 733-7108
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
PO14249
NC
1041C0700X
Clinical Social Worker
P014249
NC
Other
Enumeration date
01/03/2020
Last updated
06/09/2022
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