Individual
DAVINA MARION MILLER
Active
Individual
DAVINA MARION MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W., L.I.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1015419
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1857304
MASS HEALTH B
MA
01
—
407882
TUFTS HEALTH CARE
MA
01
—
P04729
BLUE CROSS AND BLUE SHIEL
MA
Enumeration date
01/24/2007
Last updated
07/08/2007
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