Individual
MRS. TRACI DENISE MILLER-EARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5920 COLISEUM BLVD, ALEXANDRIA, LA 71303-3714
(318) 625-8277
Mailing address
PO BOX 2004, TIOGA, LA 71477-2004
(318) 269-6675
(318) 708-1013
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11031
LA
Other
Enumeration date
03/14/2013
Last updated
02/09/2020
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