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Individual

DAVID MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
5999 W STATE ST, GARDEN CITY, ID 83703-5059
(208) 297-8575
Mailing address
5999 W STATE ST, GARDEN CITY, ID 83703-5059
(208) 297-8575

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4171545
ID

Other

Enumeration date
12/12/2024
Last updated
12/12/2024
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