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Individual

AUDRA NICOLE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
4307 S LEONARD SPRINGS RD, BLOOMINGTON, IN 47403-4078
(812) 345-2176
Mailing address
4307 S LEONARD SPRINGS RD, BLOOMINGTON, IN 47403-4078
(812) 345-2176

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005545A
IN

Other

Enumeration date
04/28/2021
Last updated
04/28/2021
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