Individual
ELEONORA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1844 WHITNEY AVE, HAMDEN, CT 06517-1400
(203) 407-1310
(203) 407-1309
Mailing address
988 NEW LONDON TPKE, GLASTONBURY, CT 06033-5312
(860) 262-4125
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007838
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004041000
—
CT
05
—
008003745
—
CT
05
—
008057039
—
CT
Enumeration date
01/08/2008
Last updated
07/13/2023
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