Individual
MATTHEW EDWARD MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
2100 BASSETT DR, MANKATO, MN 56001-6888
(507) 344-0621
(507) 344-2153
Mailing address
2100 BASSETT DR, MANKATO, MN 56001-6888
(507) 344-0621
(507) 344-2153
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
30814
MN
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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