Individual
GLENNA M MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1127 W MCCAFFERTY ST, NIXA, MO 65714-8007
(417) 230-2046
Mailing address
1127 W MCCAFFERTY ST, NIXA, MO 65714-8007
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2019011064
MO
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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