Individual
MR. KARL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSWA
Contact information
Practice address
135 PECK LN, SUFFOLK, VA 23434-7678
(757) 910-6065
Mailing address
135 PECK LN, SUFFOLK, VA 23434-7678
(757) 910-6065
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P014369
NC
Other
Enumeration date
03/10/2020
Last updated
07/27/2023
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