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Individual

MRS. BROOKE TAMARA MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSCSW

Contact information

Practice address
2800 S ROCK RD, WICHITA, KS 67210-1801
(316) 650-1877
(866) 316-4467
Mailing address
633 N RIDGE WAY RD, ROSE HILL, KS 67133-9452
(316) 650-1877
(866) 316-4467

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
8520
KS
1041C0700X
Clinical Social Worker
Primary
8520
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201069800 B
KS
05
201069800B
KS
05
30004394750001
KS
Enumeration date
05/07/2013
Last updated
08/07/2026
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