Provider Demographics
NPI:1851430763
Name:MILLER, MARGARET P (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:P
Last Name:MILLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:MARGARET
Other - Middle Name:C
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:10820 CLAYTON CT
Mailing Address - Street 2:
Mailing Address - City:ROLLA
Mailing Address - State:MO
Mailing Address - Zip Code:65401-7723
Mailing Address - Country:US
Mailing Address - Phone:573-364-7608
Mailing Address - Fax:573-364-9672
Practice Address - Street 1:1203B FORUM DRIVE
Practice Address - Street 2:
Practice Address - City:ROLLA
Practice Address - State:MO
Practice Address - Zip Code:65401-2503
Practice Address - Country:US
Practice Address - Phone:573-364-7608
Practice Address - Fax:573-364-9672
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0026591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical