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Individual
KATHRYN MAE MILLER-PROCKNAL
Active
Individual
KATHRYN MAE MILLER-PROCKNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
096121-1
NY
1041C0700X
Clinical Social Worker
Primary
089950-01
NY
Other
Enumeration date
12/16/2018
Last updated
01/05/2023
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