Individual
MS. CAROL KINGSLEY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
516 LAKEVIEW RD, VILLA 9, CLEARWATER, FL 33756-3302
(727) 298-8338
(727) 298-0381
Mailing address
516 LAKEVIEW RD, VILLA 9, CLEARWATER, FL 33756-3302
(727) 298-8338
(727) 298-0381
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW0002876
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z5740Z
MEDICARE PTIN
FL
Enumeration date
10/16/2007
Last updated
10/16/2007
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