Individual
FERN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACSW LICSW
Contact information
Practice address
545 CONCORD AVE, SUITE 20, CAMBRIDGE, MA 02138-1125
(617) 876-6688
Mailing address
545 CONCORD AVE, SUITE 20, CAMBRIDGE, MA 02138-1125
(617) 876-6688
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
104816
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P03301
BC/BS
—
Enumeration date
10/12/2006
Last updated
07/08/2007
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