Phyllis Miller, LCSW
Social Worker, Clinical in Saint Louis, MO. Individual provider (NPI-1).
NPI number1629459557
StatusActive
Last updated in NPPESJun 16, 2015
Details
- NPI
- 1629459557
- Entity type
- Individual (NPI-1)
- Name
- Phyllis Miller
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 16, 2015
- Last updated
- Jun 16, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 004313 | MO | Yes |
Practice location
66 Capitol Hill DrSaint Louis, MO 63136-4402
Phone 314-651-8333
Mailing address
66 Capitol Hill DrSaint Louis, MO 63136-4402
Phone 314-651-8333
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