Individual
MS. BERYL M MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3424 TABLE ROCK DR, GASTONIA, NC 28052-5436
(704) 517-4527
(704) 372-2309
Mailing address
3424 TABLE ROCK DR, GASTONIA, NC 28052-5436
(704) 517-4527
(704) 372-2309
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C003740
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139HN
NC HEALTH CHOICE
NC
05
—
6002607
—
NC
Enumeration date
01/02/2007
Last updated
12/07/2012
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