Most Relevant Information
Provider Data
| NPI Number: | 1003489121 |
| Provider Name: | KAITLYN GRACE MILLER LCSWA |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | P019090 |
Most Important Dates
| Enumeration Date: | 07/19/2021 |
| Last Updated: | 06/15/2023 |
Provider Practice Location
700 EAST BLVD STE 1
CHARLOTTE
NC
282035156
Practice Location Phone/Fax
| Phone: | 7049803082 |
| Fax: |
Provider Mailing Location
700 EAST BLVD STE 1
CHARLOTTE
NC
282035156
Provider Mailing Phone/Fax
| Phone: | 7049803082 |
| Fax: |