# SUSAN J. MILLER, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063724631
- **Authorized official:** MS. SUSAN J MILLER L.C.S.W. (OWNER)
- **Authorized official phone:** (606) 305-3791

## Contact information

- **Practice address:** 110 RICHIE LN, SUITE C, SOMERSET, KY 42503-6128
- **Practice address phone:** (606) 305-3791
- **Practice address fax:** (606) 678-0603
- **Mailing address:** 110 RICHIE LN, SUITE C, SOMERSET, KY 42503-6128
- **Mailing address phone:** (606) 305-3791
- **Mailing address fax:** (606) 678-0603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 1105 | KY | Yes |

## Other

- **Enumeration date:** 07/12/2010
- **Last updated:** 07/12/2010
