Individual
ANA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSW
Contact information
Practice address
23301 DRACAEA AVE, MORENO VALLEY, CA 92553-3201
(951) 571-4689
Mailing address
1614 RIGEL ST, BEAUMONT, CA 92223-2488
(909) 246-8224
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
122408
CA
1041C0700X
Clinical Social Worker
Primary
122408
CA
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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