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NPI Code Detail

MEDICARE: MS. PATRICIA ANN MILLER LCSW

MEDICARE: MS. PATRICIA ANN 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
1104100000XSocial Worker54063TX

General Provider Information

NPI Number : 1619279627
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PATRICIA ANN MILLER LCSW
Provider Business Mailing Address
First Line : PO BOX 890
Second Line :
City : WACO
State : TX
Zip : 76703-0890
Country : US
Telephone Number : 254-297-7100
Fax Number :
Provider Business Practice Location Address
First Line : 2800 LYLE AVE
Second Line :
City : WACO
State : TX
Zip : 76708-2680
Country : US
Telephone Number : 254-297-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2010
Last Update Date : 04/09/2014

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