Individual
MR. TRACY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
140 CASTLE DR, MADISON, AL 35758-8674
(256) 870-5573
Mailing address
140 CASTLE DR, MADISON, AL 35758-8674
(256) 870-5573
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2080G
AL
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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