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Individual

MS. GLENDA M MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSCW

Contact information

Practice address
211 W 7TH ST, NEWTON, KS 67114-1704
(316) 284-2544
Mailing address
211 W 7TH ST, NEWTON, KS 67114-1704
(316) 284-2544

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2150
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100395570A
KS
Enumeration date
06/17/2005
Last updated
11/23/2015
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