Individual
MR. JARED MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
320 B ST, SUITE 110, IDAHO FALLS, ID 83402-3547
(208) 200-3650
Mailing address
320 B ST, SUITE 110, IDAHO FALLS, ID 83402-3547
(208) 200-3650
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
29699
ID
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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