Individual
MRS. MEGAN REBECCA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
21 BRIDGEWAY RD, NORTH LITTLE ROCK, AR 72113-9514
(501) 771-8502
(501) 771-8511
Mailing address
21 BRIDGEWAY RD, NORTH LITTLE ROCK, AR 72113-9514
(501) 771-8502
(501) 771-8511
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1981-M
AR
1041C0700X
Clinical Social Worker
Primary
2308-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172039795
—
AR
Enumeration date
11/10/2008
Last updated
12/27/2021
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