Individual
DEANNE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
7954 UNIVERSITY AVE NE, FRIDLEY, MN 55432-1860
(763) 780-3038
Mailing address
7954 UNIVERSITY AVE NE, FRIDLEY, MN 55432-1860
(763) 780-3038
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18419
MN
Other
Enumeration date
06/14/2006
Last updated
09/26/2008
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