Individual
MS. MARY ANN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W.
Contact information
Practice address
2720 W 43RD ST, #204, MINNEAPOLIS, MN 55410-1643
(612) 920-9550
Mailing address
2720 W 43RD ST, #204, MINNEAPOLIS, MN 55410-1643
(612) 920-9550
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9423
MN
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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