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Organization

LINDA MILLER, LCSW

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA L. MILLER MSW (CLINICAL SOCIAL WORKER)
(217) 351-8353
Entity
Organization

Contact information

Practice address
3306 LAKESHORE DR, CHAMPAIGN, IL 61822-5206
(217) 351-8353
(217) 351-8353
Mailing address
3306 LAKESHORE DR, CHAMPAIGN, IL 61822-5206
(217) 351-8353
(217) 351-8353

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TC0700X
Clinical Psychologist
Primary
1041C0700X
Clinical Social Worker

Other

Enumeration date
06/26/2007
Last updated
09/11/2025
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