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Individual

MR. RONALD F. MILLER SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LADC

Contact information

Practice address
63 ELM ST STE B, TOPSHAM, ME 04086-1424
(207) 725-7592
(207) 725-7593
Mailing address
63 ELM ST STE B, TOPSHAM, ME 04086-1424
(207) 725-7592
(207) 725-7593

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC4013
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102140100
ME
Enumeration date
11/20/2008
Last updated
06/01/2011
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