Individual
MS. MINDY JANE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1505 E 20TH ST, JOPLIN, MO 64804-0928
(417) 627-9601
Mailing address
1505 E 20TH ST, JOPLIN, MO 64804-0928
(417) 627-9601
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2004024382
MO
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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