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Individual
MR. TIMOTHY MICHAEL MILLER
Active
Individual
MR. TIMOTHY MICHAEL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW, LICDC-S
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
001104
OH
Other
Enumeration date
03/20/2020
Last updated
07/21/2022
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