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Organization
MARY L MILLER, M.A., P.A.
Active
Organization
MARY L MILLER, M.A., P.A.
Active
Other names
MARTY MILLER, M.A., P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA YOUNG (OFFICE MANAGER)
(321) 723-0070
Entity
Organization
Contact information
Practice address
1101 W HIBISCUS BLVD, SUITE 104, MELBOURNE, FL 32901-2718
(321) 723-0070
(321) 723-6150
Mailing address
PO BOX 1176, MELBOURNE, FL 32902-1176
(321) 723-0070
(321) 723-6150
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH1556
FL
Other
Enumeration date
11/09/2005
Last updated
06/02/2014
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