Individual
TERA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9161 W BLACK EAGLE DR, BOISE, ID 83709-1572
(208) 284-9857
Mailing address
10062 W FAIRVIEW AVE STE 120, BOISE, ID 83704-8120
(208) 284-9857
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
41501
ID
104100000X
Social Worker
—
—
Other
Enumeration date
04/20/2016
Last updated
08/07/2024
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