Individual
CARLY JANELL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2418 W DIVISION ST, CHICAGO, IL 60622-2940
(312) 666-3494
Mailing address
1848 W GRACE ST APT 1R, CHICAGO, IL 60613-2765
(312) 384-9141
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149025203
IL
1041C0700X
Clinical Social Worker
150104952
IL
1041S0200X
School Social Worker
2458408
IL
Other
Enumeration date
06/01/2021
Last updated
03/11/2024
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