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Individual

SUSAN LUCY MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
729 SAN DIEGO LOOP, JEMEZ SPRINGS, NM 87025
(575) 829-4526
Mailing address
729 SAN DIEGO LOOP, JEMEZ SPRINGS, NM 87025
(575) 829-4526

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
329431
NM

Other

Enumeration date
08/14/2008
Last updated
08/14/2008
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