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Individual

MRS. BARBARA SMALLS MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED.

Contact information

Practice address
5860 FARINGDON PL STE 1, RALEIGH, NC 27609-3931
(919) 871-0520
(919) 873-0959
Mailing address
1304 RAVENHURST DR, RALEIGH, NC 27615-5461
(919) 846-8970

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3214
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
46821
WELL PATH
NC
01
58871
BLUE CROSS BLUE SHIELD
NC
05
7458871
NC
Enumeration date
10/13/2006
Last updated
07/08/2007
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