Individual
MS. MONICA J. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
461 34TH ST S STE C, FARGO, ND 58103-2215
(701) 239-7277
Mailing address
461 34TH ST S STE C, FARGO, ND 58103-2215
(701) 239-7277
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027514
BLUE CROSS BLUE SHIELD
ND
05
—
74078
—
ND
Enumeration date
03/28/2007
Last updated
05/04/2017
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