Individual
KATRICE LEVETTA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1208 E CHURCHVILLE RD STE 300, BEL AIR, MD 21014-3485
(410) 838-9500
Mailing address
4938 WATER FOWL LN, MEMPHIS, TN 38141-8435
(901) 337-8332
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
29248
MD
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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