| Doctor Name: | MR. JOSEPH MAYLEN MILLER |
| NPI Number: | 1154544708 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW DCSW LSCSW |
| License Number: | 1686 |
| Business Practice Address: | 1411 W 4th St Family Consultation Services Ste C Coffeyville, KS - 673373300 |
| Business Phone Number: | 6202516967 |
| Business Fax Number: | 6202516967 |
| Mailing Address: | 1411 W 4th St, Family Consultation Services Ste C COFFEYVILLE |
| State: | KS |
| Postal Code: | 673373300 |
| Phone Number: | 6202516967 |
| Fax Number: | 6202516967 |
| NPI Enumeration Date: | 04/11/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 1686 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |