Individual
KELLIE PATCHEN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
901 RIO GRANDE BLVD NW STE H160, ALBUQUERQUE, NM 87104-2063
(505) 278-0807
Mailing address
4949 ROMA AVE NE APT 20, ALBUQUERQUE, NM 87108-1375
(575) 631-1787
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2024-0556
NM
Other
Enumeration date
03/21/2023
Last updated
07/10/2024
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