Individual
RUSSELL J MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8415 GOODWOOD BLVD STE 200, BATON ROUGE, LA 70806
(225) 765-8321
(225) 765-8585
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0011
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
7122
LA
1041C0700X
Clinical Social Worker
Primary
7122
LA
Other
Enumeration date
06/27/2008
Last updated
03/17/2021
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