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Individual

RANDY MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
5011 MEADOWOOD MALL CIR STE 301, RENO, NV 89502-6576
(775) 234-8551
Mailing address
1455 AUTUMN HILLS DR, RENO, NV 89511-1435
(775) 997-5096

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8023-C
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1003069485
NV
Enumeration date
08/01/2016
Last updated
05/12/2026
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