Individual
MR. CLIFFORD C. MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
2400 W CLINTON ST, APT. 48, GOSHEN, IN 46526-1809
(574) 534-8749
Mailing address
2400 W CLINTON ST, APT. 48, GOSHEN, IN 46526-1809
(574) 534-8749
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001753A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34001753A
CLINICAL SOCIAL WORKER -
IN
Enumeration date
07/23/2007
Last updated
07/23/2007
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