Most Relevant Information
Provider Data
| NPI Number: | 1003685579 |
| Provider Name: | DOMINIC MARCO MILLER LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | LCSW-21218 |
Most Important Dates
| Enumeration Date: | 12/26/2023 |
| Last Updated: | 12/26/2023 |
Provider Practice Location
3450 N 3RD ST
PHOENIX
AZ
850122331
Practice Location Phone/Fax
| Phone: | 6022658338 |
| Fax: |
Provider Mailing Location
PO BOX 1671
PHOENIX
AZ
850011671
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |