Individual
NANCY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2303 VILLAGE DR, SAINT JOSEPH, MO 64506-4954
(816) 232-4417
(816) 671-0961
Mailing address
2303 VILLAGE DR, SAINT JOSEPH, MO 64506-4954
(816) 232-4417
(816) 671-0961
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2008032068
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992854350
—
MO
05
—
47037658526
—
NE
Enumeration date
01/08/2007
Last updated
06/25/2009
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