Individual
KENNY EDWARD MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
3131 N COUNTRY CLUB RD STE 201, TUCSON, AZ 85716-1651
(520) 326-8424
(520) 326-8669
Mailing address
3131 N COUNTRY CLUB RD STE 201, TUCSON, AZ 85716-1651
(520) 326-8424
(520) 326-8669
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-2095
AZ
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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