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Individual

MRS. CHRISTINA BROUGHTON MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
14801 HARVEST LN, SILVER SPRING, MD 20905-5613
(240) 994-1320
Mailing address
14801 HARVEST LN, SILVER SPRING, MD 20905-5613
(240) 994-1320

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC1889
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003392800
MD
Enumeration date
04/24/2007
Last updated
07/08/2007
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