Individual
MR. TIAJUAN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
(405) 595-3193
Mailing address
801 NW 116TH TER, OKLAHOMA CITY, OK 73114-7920
(405) 684-1062
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5274
OK
Other
Enumeration date
02/07/2011
Last updated
07/21/2022
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