Individual
KATHERINE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8211 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4796
(877) 594-9204
Mailing address
5419 UPTON CT, FORT WAYNE, IN 46835-3652
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34009722A
IN
Other
Enumeration date
05/13/2022
Last updated
04/18/2023
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