Individual
MRS. GWENDOLYN MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
710 S OLD MIDDLETOWN RD, MEDIA, PA 19063-5024
(610) 619-9870
(610) 619-9879
Mailing address
710 S OLD MIDDLETOWN RD, MEDIA, PA 19063-5024
(610) 619-9870
(610) 619-9879
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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