Individual
TAMATHA LEE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, ACSW
Contact information
Practice address
1540 SPRING VALLEY DR, HUNTINGTON, WV 25704-9300
(304) 429-6755
Mailing address
3950 39TH ST E, NITRO, WV 25143-1318
(304) 755-7112
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CP00938483
WV
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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