Individual
EZEKIEL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1025 S 3RD ST, RENTON, WA 98057-2765
(401) 595-3564
Mailing address
1025 S 3RD ST, RENTON, WA 98057-2765
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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