Individual
SHARON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2200 LAS PALOMAS RD, CLOVIS, NM 88101-4345
(575) 605-6075
Mailing address
224 W DL INGRAM, CLOVIS, NM 88103
(575) 784-1108
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
M-08931
NM
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C-09892
RLD SOCIAL WORK LICENSE
NM
Enumeration date
03/24/2015
Last updated
04/25/2018
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