Individual
PATRICIA J MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6230 NW BARRY RD, KANSAS CITY, MO 64154-2530
(816) 505-3311
(816) 505-3511
Mailing address
6230 NW BARRY RD, KANSAS CITY, MO 64154-2530
(816) 505-3311
(816) 505-3511
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2001028380
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35558015
BLUE SHIELD KANSAS CITY
MO
Enumeration date
04/26/2006
Last updated
09/17/2012
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