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Individual
MRS. MARTHA L MILLER
Active
Individual
MRS. MARTHA L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWC
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05339
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KL86
MEDICARE PIN
MD
Enumeration date
12/21/2006
Last updated
02/22/2019
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