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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. BRADLEY A MILLER, M.A. LMSW QSUDP

Active

MR. BRADLEY A MILLER, M.A. LMSW QSUDP is a Social Worker healthcare provider located in GARDEN CITY, Idaho. NPI 1710358486 is currently active in the NPPES registry. Verify at CMS.

Social Worker · GARDEN CITY, ID

Registration Details

NPI Number
1710358486
Provider Type
Individual
Gender
Male
NPI Issued
Oct 7, 2015 (10.857570368312 yrs)
Last Updated
Oct 7, 2015
License
LMSW-34787 (ID)

Practice Information

Address
5583 N GLENWOOD ST
GARDEN CITY, ID, 837141336
Browse ID providers · Browse ZIP 83714
Phone
2082872564
Primary Specialty
Social Worker
104100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.