Individual
ISRAEL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
725 AIRPORT RD STE 7G, LAKEWOOD, NJ 08701-5968
(732) 678-6107
Mailing address
22 SHEMEN ST, LAKEWOOD, NJ 08701-3662
(732) 678-6107
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06573800
NJ
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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