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NPI Code Detail

MEDICARE: ALEXANDRIA MILLER LSW

MEDICARE: ALEXANDRIA MILLER LSW
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.191670OH
2104100000XSocial WorkerS.2513112OH

General Provider Information

NPI Number : 1881570745
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRIA MILLER LSW
Provider Business Mailing Address
First Line : 2775 STATE ROUTE 39
Second Line :
City : SHELBY
State : OH
Zip : 44875-9466
Country : US
Telephone Number : 419-747-3322
Fax Number :
Provider Business Practice Location Address
First Line : 2775 STATE ROUTE 39
Second Line :
City : SHELBY
State : OH
Zip : 44875-9466
Country : US
Telephone Number : 419-747-3322
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2025
Last Update Date : 12/09/2025

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Directions to “ ALEXANDRIA MILLER LSW” Practice Location

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