Individual
ANITA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
151 BURRS LN, DIX HILLS, NY 11746-6052
(631) 253-3480
(631) 253-3483
Mailing address
151 BURRS LN, DIX HILLS, NY 11746-6052
(631) 253-3480
(631) 253-3483
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
091700
NY
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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