Individual
MANDY MICHELLE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, MSW, LCSW
Contact information
Practice address
204 W SPRING ST, MONROE, GA 30655-1914
(770) 599-7508
Mailing address
204 W SPRING ST, MONROE, GA 30655-1914
(707) 599-7508
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004354
GA
Other
Enumeration date
02/21/2012
Last updated
01/26/2024
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