Individual
DR. DERRIUS TEREL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DSW, LCSW
Contact information
Practice address
125 BENT CREEK DR, BRANDON, MS 39047-6634
(601) 668-2162
Mailing address
125 BENT CREEK DR, BRANDON, MS 39047-6634
(601) 668-2162
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7908
MS
Other
Enumeration date
07/04/2018
Last updated
07/04/2018
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