Individual
JESSE LAUREN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
482 INTERSTATE DR, MANCHESTER, TN 37355-3485
(931) 450-8255
Mailing address
482 INTERSTATE DR, MANCHESTER, TN 37355-3485
(931) 450-8255
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14900
TN
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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