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Individual

MS. BETH L MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, CEC

Contact information

Practice address
1025 NORTHERN BLVD, SUITE 106, ROSLYN, NY 11576-1506
(516) 616-3476
Mailing address
204 EAST MAIN STREET, DOWNSTAIRS, PORT JEFFERSON, NY 11777
(631) 327-0090
(631) 331-9202

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
070388
NY

Other

Enumeration date
03/19/2007
Last updated
07/08/2007
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