Individual
JONATHAN LAMAR MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8400 LINDBERGH BLVD APT 1004C, PHILADELPHIA, PA 19153-1513
(267) 398-4636
Mailing address
8400 LINDBERGH BLVD APT 1004C, PHILADELPHIA, PA 19153-1513
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
PA
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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