Individual
DANIEL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
121 IOWA ST, KLAMATH FALLS, OR 97601-1606
(541) 281-1565
Mailing address
5472 GLENRIDGE WAY, KLAMATH FALLS, OR 97603-3970
(541) 281-1565
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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