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Individual

MISTALA MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW36012
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-38874
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2122473
WA
Enumeration date
09/13/2016
Last updated
07/08/2024
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