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Individual
ZACHARY J MILLER
Active
Individual
ZACHARY J MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149023228
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149023228
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATIONS (IDFPR)
IL
Enumeration date
06/03/2021
Last updated
06/03/2021
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