Individual
ELAINA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7001 BLUE RIDGE BLVD, RAYTOWN, MO 64133-5629
(816) 966-0900
Mailing address
7001 BLUE RIDGE BLVD, RAYTOWN, MO 64133-5629
(816) 966-0900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2017003775
MO
1041C0700X
Clinical Social Worker
5062
KS
Other
Enumeration date
06/16/2018
Last updated
05/12/2020
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