Individual
MS. KENDELLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-4747
Mailing address
1364 CLIFTON RD, NE, EMORY HEALTHCARE, ATLANTA, GA 30322
(404) 712-4747
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002971
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW002971
LCSW
GA
Enumeration date
01/09/2009
Last updated
01/09/2009
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