Individual
CRYSTAL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 MAINE AVE, BALTIMORE, MD 21207-7421
(410) 396-0571
(410) 396-0396
Mailing address
3901 MAINE AVE, BALTIMORE, MD 21207-7421
(410) 396-0571
(410) 396-0396
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
07278
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07278
SOCIAL WORK LISCENCE
MD
Enumeration date
05/17/2019
Last updated
06/11/2019
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