Individual
MICHAEL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
989295
CO
2084P0804X
Child & Adolescent Psychiatry Physician
989295
CO
Other
Enumeration date
11/13/2006
Last updated
05/07/2013
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