Individual
KELLY MARIAN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1001 YOSEMITE ST, DENVER, CO 80230-6074
(720) 424-0491
Mailing address
3474 S GRAPE ST, DENVER, CO 80222-7528
(970) 389-2712
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1269
CO
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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