Individual
SUSAN CHA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3214 W MCGRAW ST STE 212, SEATTLE, WA 98199-3239
(206) 453-4882
Mailing address
20217 13TH AVENUE CT E, SPANAWAY, WA 98387-8084
(253) 283-8188
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
60677808
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG60677808
AGENCY AFFILIATED COUNSELOR
WA
Enumeration date
07/27/2016
Last updated
07/28/2016
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