Individual
MR. DAVID BENTON MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW,CADC,MSW,BCD
Contact information
Practice address
1590 S. MILWAUKEE AVE, SUITE 208, LIBERTYVILLE, IL 60048
(847) 573-9756
Mailing address
1590 S. MILWAUKEE AVE, SUITE 208, LIBERTYVILLE, IL 60048
(847) 573-9756
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.006909
IL
Other
Enumeration date
04/12/2007
Last updated
12/24/2008
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