Individual
BRIDGET IVY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19540 AMARANTH DR, GERMANTOWN, MD 20874-1202
(240) 830-7233
Mailing address
5730 MAGNOLIA TREE CT APT A42, FREDERICK, MD 21703-7283
(240) 439-3994
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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