Individual
MR. WOODROW EUGENE MILLER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LISAC
Contact information
Practice address
21085 W PARK MEADOWS DR, BUCKEYE, AZ 85396-1606
(480) 725-8810
Mailing address
19580 W INDIAN SCHOOL RD, STE 105 # 515, BUCKEYE, AZ 85396-1606
(480) 725-8810
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-11580
AZ
Other
Enumeration date
08/08/2022
Last updated
10/07/2022
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