Individual
KIRSTEN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CSW004141
GA
1041C0700X
Clinical Social Worker
8603
WI
1041C0700X
Clinical Social Worker
Primary
8603-123
WI
1041C0700X
Clinical Social Worker
CSW004141
GA
Other
Enumeration date
08/21/2009
Last updated
09/29/2021
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