Individual
NICOLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMSW
Contact information
Practice address
6121 INDIAN SCHOOL RD NE STE 234, ALBUQUERQUE, NM 87110-3180
(505) 888-1362
Mailing address
9125 COPPER AVE NE APT 210, ALBUQUERQUE, NM 87123-1003
(505) 514-3738
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
X-08619
NM
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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