Individual
KIM MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
59 THROCKMORTON ST, FREEHOLD, NJ 07728-1946
(732) 431-0647
Mailing address
3 CAROUSEL CT, MILLSTONE TWP, NJ 08510-8761
(848) 863-9097
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37C00703500
NJ
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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