Individual
DANIEL RAY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMFT
Contact information
Practice address
4368 SPRUCE RD, ST BONIFACIUS, MN 55375-1312
(612) 747-3777
Mailing address
4368 SPRUCE RD, ST BONIFACIUS, MN 55375-1312
(612) 747-3777
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2948
MN
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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