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NPI Code Detail

MEDICARE: VICTORIA E MILLER LCSW

MEDICARE: VICTORIA E MILLER LCSW
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
11041C0700XClinical Social WorkerSW 6416FL

General Provider Information

NPI Number : 1245253558
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA E MILLER LCSW
Provider Business Mailing Address
First Line : 255 MAIN ST
Second Line : STE 7A
City : DESTIN
State : FL
Zip : 32541-2503
Country : US
Telephone Number : 850-863-2873
Fax Number : 850-689-8799
Provider Business Practice Location Address
First Line : 225 MAIN ST STE 7A
Second Line :
City : DESTIN
State : FL
Zip : 32541-2550
Country : US
Telephone Number : 850-404-2294
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 05/13/2022

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Directions to “ VICTORIA E MILLER LCSW” Practice Location

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