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1124510656
DEREK ALAN MILLER
MERIDIAN, ID
NPI
1124510656
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID 35811)
Enumeration Date
2018-05-31
Last Update Date
2018-05-31
Business Address
Mr. DEREK ALAN MILLER LMSW
520 S EAGLE RD
MERIDIAN, ID 83642-6351
Phone number: 208-706-5651
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Mailing Address
Mr. DEREK ALAN MILLER LMSW
2807 E MASSACHUSETTS AVE
NAMPA, ID 83686-6723
Phone number: 208-830-3424
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