NPI 1265163687

Kendra Marie Suddeth Miller, LISWCP

Practitioner Clinical Social Worker Blythewood, SC

Practice location

Address: 412 Saddlecrest CT, Blythewood, SC 29016-7631
Phone: (803) 587-8327
Mailing address: PO Box 72, Blythewood, SC 29016-0072

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 13581 (SC)

Other Social Worker providers in South Carolina →

School Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041S0200X

Registry record

NPI: 1265163687
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jun 2022
Record last updated: 21 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.