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Individual

MR. VERN HANSEN MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MT-BC

Contact information

Practice address
4601 LOCUST LN, STE 202, HARRISBURG, PA 17109-4444
(717) 526-2111
(717) 526-2117
Mailing address
8 E MAIN ST, APT. 1, SHIREMANSTOWN, PA 17011-6426
(724) 421-7268

Taxonomy

Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
09578
PA

Other

Enumeration date
09/24/2010
Last updated
01/26/2011
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