Individual
CARISSA A MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
183 E MCCLAIN AVE, SCOTTSBURG, IN 47170-1845
(812) 414-2331
Mailing address
183 E MCCLAIN AVE, SCOTTSBURG, IN 47170-1845
(812) 414-2331
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33007981A
IN
1041C0700X
Clinical Social Worker
Primary
34008454A
IN
Other
Enumeration date
06/03/2018
Last updated
12/04/2019
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