Individual
MRS. DENITRA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
101 GARDEN GATE PKWY, MCDONOUGH, GA 30252-5036
(678) 478-7767
Mailing address
101 GARDEN GATE PKWY, MCDONOUGH, GA 30252-5036
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005185
GA
Other
Enumeration date
09/25/2020
Last updated
01/23/2024
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