Individual
BETHANY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MSW
Contact information
Practice address
3823 KINGSWOOD DR, DECATUR, GA 30032-1716
(404) 590-7155
Mailing address
3823 KINGSWOOD DR, DECATUR, GA 30032-1716
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW008995
GA
Other
Enumeration date
01/23/2019
Last updated
06/07/2024
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