Individual
MRS. MICHELLE J MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
24 E BROADWAY ST, BUTTE, MT 59701-9334
(406) 560-6600
Mailing address
24 E BROADWAY ST, BUTTE, MT 59701-9334
(406) 560-6600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
687
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000071445
BCBS
MT
05
—
0503763
—
MT
Enumeration date
09/20/2006
Last updated
12/21/2011
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