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Individual
MRS. JULIE MILLER BIRD
Active
Individual
MRS. JULIE MILLER BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MRC, LPC, LAC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5630
SC
101YA0400X
Addiction (Substance Use Disorder) Counselor
361
SC
101YM0800X
Mental Health Counselor
Primary
107092
SC
Other
Enumeration date
09/23/2008
Last updated
08/31/2021
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