Individual
PHYLLIS MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
66 CAPITOL HILL DR, SAINT LOUIS, MO 63136-4402
(314) 651-8333
Mailing address
66 CAPITOL HILL DR, SAINT LOUIS, MO 63136-4402
(314) 651-8333
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004313
MO
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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