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Deidre Fontaine Miller, MSW

Social Worker in Seattle, WA. Individual provider (NPI-1).

NPI number1164073409
StatusActive
Last updated in NPPESSep 27, 2019

Details

NPI
1164073409
Entity type
Individual (NPI-1)
Name
Ms. Deidre Fontaine Miller
Credential
MSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 27, 2019
Last updated
Sep 27, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker––Yes

Practice location

851 Poplar Pl S
Seattle, WA 98144-2827

Phone 206-322-2387 · Fax 206-322-6306

Mailing address

2615 E Cherry St Apt 1a
Seattle, WA 98122-4955

Phone 206-753-7743

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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