Doctor Name: | MS. KRISTIN A MILLER |
NPI Number: | 1477764397 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW-CC |
License Number: | LC11128 |
Business Practice Address: | 10 Barker St Calais, ME - 046191404 |
Business Phone Number: | 2074542928 |
Business Fax Number: | 2074542747 |
Mailing Address: | Po Box 183, CALAIS |
State: | ME |
Postal Code: | 046190183 |
Phone Number: | 2074548415 |
Fax Number: | |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 08/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LC11128 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |