Individual
MRS. CAROL L MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., ATR-BC, LCAT
Contact information
Practice address
106 OLDE TOWNE RD, ITHACA, NY 14850-9472
(607) 256-9693
Mailing address
106 OLDE TOWNE RD, ITHACA, NY 14850-9472
(607) 256-9693
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
000590-1
NY
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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