Mr. BRADLEY A MILLER -- M.A. LMSW QSUDP
Individual Provider (NPI-1)
Active
Social Worker
Provider Information
- NPI Number
1710358486- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.A. LMSW QSUDP
- Status
- Active
Contact & Location
- Address
- 5583 N GLENWOOD ST, GARDEN CITY, ID, 837141336
- Phone
- (208) 287-2564
Specialties & Taxonomies
Social Worker
Primary License: ID #LMSW-34787