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Individual
MR. MARK E. MILLER
Active
Individual
MR. MARK E. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW, LISW, LSCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1199
NE
1041C0700X
Clinical Social Worker
05745
KS
1041C0700X
Clinical Social Worker
06756
IA
1041C0700X
Clinical Social Worker
1413
NE
Other
Enumeration date
08/21/2006
Last updated
08/22/2024
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