Individual
MRS. KENDRA JO MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
5500 E. KELLOGG DR., WITCHITA, KS 67218
(316) 779-4871
(316) 239-2746
Mailing address
5500 E. KELLOGG DR., WITCHITA, KS 67218
(316) 779-4871
(316) 239-2746
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4749
KS
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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