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Individual
MR. ROGER DALE MILLER JR.
Active
Individual
MR. ROGER DALE MILLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1
—
OH
Enumeration date
03/11/2019
Last updated
04/25/2023
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