MEDICARE: DANIELLE MARIE MILLS

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
1	1041C0700X	Clinical Social Worker	2021030628	MO

General Provider Information

NPI Number	:	1669343380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE MARIE MILLS

Provider Business Mailing Address
First Line	:	24 FRIARS HALL CT
Second Line	:
City	:	SAINT CHARLES
State	:	MO
Zip	:	63304-7306
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	24 FRIARS HALL CT
Second Line	:
City	:	SAINT CHARLES
State	:	MO
Zip	:	63304-7306
Country	:	US
Telephone Number	:	314-941-4588
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2025
Last Update Date	:	09/16/2025

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Directions to “ DANIELLE MARIE MILLS ” Practice Location

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