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MS. CONNIE GENE MILLER LMSW CADC

Addiction Substance Use Disorder

Plummer, Idaho

Provider NPI: 1770564635

Provider Information:
MS. CONNIE GENE MILLER LMSW CADC
Gender: F
Not Sole Proprietor

Practice Location:
1115 B ST  PLUMMER, ID 83851 US
Tel: 208-686-1449  Fax: --

Business Mailing Address:
3405 N PARK RD  SPOKANE VALLEY, WA 99212 US
Tel: 509-927-0497  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
IDCADC 1088005
X104100000XBehavioral Health & Social Service Providers
Social Worker
IDLMSW 25983









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