Individual
JIMMY W MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 BROADWAY, CHELSEA, MA 02150-2807
(617) 889-4860
(617) 912-7971
Mailing address
301 BROADWAY, CHELSEA, MA 02150-2807
(617) 889-4860
(617) 912-7971
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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