Individual
MRS. KELLY MICHAELS MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
23 GROVES AVE, ALEXANDRIA, VA 22305-2508
(703) 549-3703
Mailing address
23 GROVES AVE, ALEXANDRIA, VA 22305-2508
(703) 549-3703
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003516
VA
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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