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Individual

MRS. SUSAN ANN MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
408 E B SAUNDERS WAY, CLARKSBURG, WV 26301-3712
(304) 624-6554
(304) 624-5223
Mailing address
1201 N 15TH ST, CLARKSBURG, WV 26301-1989
(304) 624-6554
(304) 624-5223

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
7085
WV

Other

Enumeration date
03/08/2012
Last updated
03/08/2012
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