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Individual

MS. LISA MAE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, M.ED.

Contact information

Practice address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
(573) 814-6000
Mailing address
513 DONNELLY AVE, COLUMBIA, MO 65203-2521
(573) 825-2236

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
002748
MO
104100000X
Social Worker
Primary
2019006686
MO

Other

Enumeration date
12/02/2009
Last updated
03/08/2019
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