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Individual
SUZANNE L MILLER
Active
Individual
SUZANNE L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00601200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0021784
—
NJ
01
—
017236
MHN ID
NJ
05
—
0263184
—
NJ
01
—
145813 000
MAGELLAN ID
NJ
01
—
7908369
AETNA ID
NJ
01
—
P-435707
OXFORD ID
NJ
Enumeration date
08/10/2006
Last updated
11/24/2020
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