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Individual

MRS. LAURITA MULLINS MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
1109 TOWNHOUSE ROAD, HELENA, AL 35080
(205) 267-2945
(205) 945-1890
Mailing address
104 STRATSHIRE LN, PELHAM, AL 35124-2710
(205) 267-2945
(205) 945-1890

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0531-1510C
AL
1041C0700X
Clinical Social Worker
4029
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
98835
BCBS
AL
Enumeration date
07/05/2006
Last updated
07/21/2022
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