Individual
MR. DEAN A MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW, MSCJ
Contact information
Practice address
1925 E BENNETT ST STE H, SPRINGFIELD, MO 65804-1425
(417) 942-0005
(417) 942-5772
Mailing address
644 S SCENIC AVE, SPRINGFIELD, MO 65802-5072
(417) 942-0005
(417) 942-5772
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2019042627
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82-4788009
—
MO
Enumeration date
08/09/2018
Last updated
03/11/2025
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