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NPI Code Detail

MEDICARE: MR. CHADRICK EARL MILLER LMSW

MEDICARE: MR. CHADRICK EARL MILLER 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
11041C0700XClinical Social WorkerLMSW7262KS

General Provider Information

NPI Number : 1952551343
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHADRICK EARL MILLER LMSW
Provider Business Mailing Address
First Line : 2708 W 43RD AVE
Second Line :
City : KANSAS CITY
State : KS
Zip : 66103-3125
Country : US
Telephone Number : 913-708-8247
Fax Number :
Provider Business Practice Location Address
First Line : 2708 W 43RD AVE
Second Line :
City : KANSAS CITY
State : KS
Zip : 66103-3125
Country : US
Telephone Number : 913-708-8247
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2008
Last Update Date : 01/04/2017

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