Individual
MRS. TABATHA SUE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9701 W MARKHAM ST, LITTLE ROCK, AR 72205-2123
(717) 449-0458
Mailing address
10 REMINGTON DR, LITTLE ROCK, AR 72204-8202
(501) 410-1567
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7815-C
AR
Other
Enumeration date
07/04/2022
Last updated
07/04/2022
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