NPI Details | |
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NPI | 1053455147 |
Gender | Male |
Enumeration Date | 02/20/2007 |
Last Updated | 07/08/2007 |
Entity Type | Individual |
Active | Over 11 years ago |
Practice Location | |
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640 E BROADWAY AVE JACKSON WY, 83001, US |
|
Phone | (307) 733-2046 |
Fax | (307) 733-6289 |
Business Location | |
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PO BOX 1868 JACKSON WY, 83001-1868, US |
|
Phone | (307) 733-2046 |
Fax | (307) 733-6289 |
Toxanomy | |
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Taxonomy Code | 1041C0700X |
License State | |
License Number | |
Remove 1053455147 NPI Number |
According to our database, Heath P Miller LCSW NPI is 1053455147, taxonomy code is 1041C0700X Heath P Miller LCSW physically located at 640 E Broadway Ave, Jackson WY, 83001. NPI Number Heath P Miller LCSW has the Individual type.
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1053455147 NPI number is provided on an as is basis without warranty of any kind. 1053455147 is maintained by the National Plan & Provider Enumeration System. The contents of Heath P Miller LCSW are for informational purposes only.
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