Derek Alan Miller, LMSW
Social Worker in Meridian, ID. Individual provider (NPI-1).
NPI number1124510656
StatusActive
Last updated in NPPESMay 31, 2018
Details
- NPI
- 1124510656
- Entity type
- Individual (NPI-1)
- Name
- Mr. Derek Alan Miller
- Credential
- LMSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 31, 2018
- Last updated
- May 31, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 35811 | ID | Yes |
Practice location
520 S Eagle RdMeridian, ID 83642-6351
Phone 208-706-5651
Mailing address
2807 E Massachusetts AveNampa, ID 83686-6723
Phone 208-830-3424
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All 104 Social Worker providers in Meridian · All 4,112 providers in Meridian
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