| Ky A. Miller, Llc | |
|
7 Brookewood Dr Caseyville IL 62232-2215 | |
| (618) 373-9029 | |
| Not Available |
| Full Name | Ky A. Miller, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7 Brookewood Dr, Caseyville, Illinois |
| Authorized Official Name and Position | Ky Miller (OWNER/ LCSW) |
| Authorized Official Contact | 6183739029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ky A. Miller, Llc 7 Brookewood Dr Caseyville IL 62232-2215 Ph: () - | Ky A. Miller, Llc 7 Brookewood Dr Caseyville IL 62232-2215 Ph: (618) 373-9029 |
| NPI Number | 1972299097 |
|---|---|
| Provider Enumeration Date | 04/12/2023 |
| Last Update Date | 04/12/2023 |
| Certification Date | 04/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972299097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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