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Individual

SAMANTHA JO MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW, LCSW, LAC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1943
ND
101YA0400X
Addiction (Substance Use Disorder) Counselor
305065
MN
1041C0700X
Clinical Social Worker
30475
MN
1041C0700X
Clinical Social Worker
Primary
6345
ND

Other

Enumeration date
05/22/2018
Last updated
09/17/2025
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