Individual
MR. ANTHONY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1599 JONES STREET, GRAND FORKS AFB, ND 58205
(701) 747-4460
Mailing address
1599 JONES STREET, GRAND FORKS AFB, ND 58205
(701) 747-4460
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009806
VA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
02/25/2017
Last updated
10/07/2022
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