Individual
JESSICA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LGSW, APSW
Contact information
Practice address
1811 WEIR DR STE 270, WOODBURY, MN 55125-6741
(651) 714-9646
(651) 714-9647
Mailing address
1811 WEIR DR STE 270, WOODBURY, MN 55125-6741
(651) 714-9646
(651) 714-9647
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
13254-121
WI
1041C0700X
Clinical Social Worker
Primary
21389
MN
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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