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NPI Code Detail

MEDICARE: MARLIE MILES LMSW

MEDICARE: MARLIE MILES LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerM11894MS

General Provider Information

NPI Number : 1164364733
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLIE MILES LMSW
Provider Business Mailing Address
First Line : 2664 S HARPER RD
Second Line :
City : CORINTH
State : MS
Zip : 38834-6723
Country : US
Telephone Number : 662-287-4055
Fax Number : 662-287-4114
Provider Business Practice Location Address
First Line : 2664 S HARPER RD
Second Line :
City : CORINTH
State : MS
Zip : 38834-6723
Country : US
Telephone Number : 662-287-4055
Fax Number : 662-287-4114
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ MARLIE MILES LMSW” Practice Location

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