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Individual

CHRISTOPHER KEITH MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
4320 DIPLOMACY DR, SUITE 1500, ANCHORAGE, AK 99508-5925
(907) 729-8624
Mailing address
4201 TUDOR CENTRE DR, SUITE 320, ANCHORAGE, AK 99508-5904
(907) 729-8624
(907) 729-8607

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16960
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16960
STATE OF MINNISOTA
MN
Enumeration date
05/15/2009
Last updated
12/20/2012
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