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Individual

ERIC MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2255 W NORTHERN AVE, PHOENIX, AZ 85021-4936
(602) 995-1767
Mailing address
1025 E ODEUM LN, PHOENIX, AZ 85040-1292
(570) 301-7121

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
11/05/2024
Last updated
11/05/2024
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