Individual
MR. MARMADUKE SIDNEY MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
23 E 38TH ST, SAVANNAH, GA 31401-8560
(912) 233-1312
(912) 447-5661
Mailing address
23 E 38TH ST, SAVANNAH, GA 31401-8560
(912) 233-1312
(912) 447-5661
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002658
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000847591B
—
GA
Enumeration date
01/26/2007
Last updated
07/08/2007
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