Individual
MRS. MYRA JOHNSON MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1453 HOPE WAY, MURFREESBORO, TN 37129-3140
(615) 893-9390
Mailing address
1453 HOPE WAY, MURFREESBORO, TN 37129-3140
(615) 893-9390
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000003680
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3151751
BLUE CROSS BLUE SHIELD
TN
05
—
3921034
—
TN
Enumeration date
12/19/2006
Last updated
09/23/2024
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