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Individual
SAMANTHA JO MILLER
Active
Individual
SAMANTHA JO MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW, LAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1943
ND
101YA0400X
Addiction (Substance Use Disorder) Counselor
305065
MN
1041C0700X
Clinical Social Worker
30475
MN
1041C0700X
Clinical Social Worker
Primary
6345
ND
Other
Enumeration date
05/22/2018
Last updated
08/30/2026
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