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Individual

CLIFFORD FARMER MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
312 TUSCULUM BLVD, SUITE 100, GREENEVILLE, TN 37745-3949
(423) 278-8805
(423) 370-1494
Mailing address
312 TUSCULUM BLVD, SUITE 100, GREENEVILLE, TN 37745-3949
(423) 278-8805
(423) 370-1494

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000001092
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3694507
TN
05
3923920
TN
Enumeration date
09/19/2006
Last updated
09/14/2012
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