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Individual

DONNA MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
379 STANAFORD RD, BECKLEY, WV 25801-3141
(304) 253-3000
Mailing address
3148 EAGLE CREST RD, FLAT TOP, WV 25841-9625
(304) 575-3095

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW031814600
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SW031814600
SOCIAL WORK
WV
Enumeration date
03/03/2019
Last updated
03/03/2019
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