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Organization
THOMAS MILLER COACHING
Active
Organization
THOMAS MILLER COACHING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MICELLI MILLER (LICSW)
(978) 904-1716
Entity
Organization
Contact information
Practice address
50 WATER ST STE 246, NEWBURYPORT, MA 01950-2883
(978) 904-1716
Mailing address
50 WATER ST STE 246, NEWBURYPORT, MA 01950-2883
(978) 904-1716
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558544049
NPI TYPE 1
MA
Enumeration date
01/20/2021
Last updated
01/20/2021
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