Individual
GINA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
5860 FULTON DR NW, CANTON, OH 44718-1752
(330) 491-4331
Mailing address
1268 CLARENCE ST NW, UNIONTOWN, OH 44685-8536
(330) 414-7921
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1802537
OH
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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