Individual
EBONY MEDINA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
890 MILL ST, RENO, NV 89502-1442
(775) 538-6700
Mailing address
320 SANDIA DR, FERNLEY, NV 89408-9623
(775) 217-6148
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11475-C
NV
Other
Enumeration date
03/12/2022
Last updated
10/04/2024
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