Individual
MR. JOSEPH MAYLEN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW DCSW LSCSW
Contact information
Practice address
1411 W 4TH ST, FAMILY CONSULTATION SERVICES STE C, COFFEYVILLE, KS 67337-3300
(620) 251-6967
(620) 251-6967
Mailing address
1411 W 4TH ST, FAMILY CONSULTATION SERVICES STE C, COFFEYVILLE, KS 67337-3300
(620) 251-6967
(620) 251-6967
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0164
KS
1041C0700X
Clinical Social Worker
1686
OK
1041C0700X
Clinical Social Worker
20704
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000011148
BCBS
KS
Enumeration date
04/11/2007
Last updated
07/08/2007
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