| Doctor Name: | MARJORIE MILLER |
| NPI Number: | 1164572020 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 1394 |
| Business Practice Address: | 4815 N Preston Hwy Ste 14 Shepherdsville, KY - 401659223 |
| Business Phone Number: | 5029551009 |
| Business Fax Number: | 5029219762 |
| Mailing Address: | 4815 N Preston Hwy Ste 14, SHEPHERDSVILLE |
| State: | KY |
| Postal Code: | 401659223 |
| Phone Number: | 5029551009 |
| Fax Number: | 5029219762 |
| NPI Enumeration Date: | 01/11/2007 |
| NPI Last Update Date: | 04/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 1394 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |