Individual
MRS. CAROLE L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
9780 PATUXENT WOODS DR, COLUMBIA, MD 21046-1526
(410) 313-1764
Mailing address
10400 SHAKER DRIVE, SUITE 326, SIMPSONVILLE, MD 21150
(443) 545-1611
(443) 632-3946
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10806
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15448
LCSW - BOARD OF BEHAVIORAL HEALTH EXAMINERS
AZ
05
—
417680400
—
MD
Enumeration date
03/15/2007
Last updated
09/30/2019
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