Individual
MR. JUSTIN MICHAEL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
20630 ROUTE 19 UNIT 101, CRANBERRY TOWNSHIP, PA 16066-6021
(724) 779-2273
Mailing address
11279 PERRY HWY STE 450, WEXFORD, PA 15090-9303
(724) 933-1100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
BP00943159
WV
1041C0700X
Clinical Social Worker
Primary
CW020036
PA
Other
Enumeration date
10/20/2010
Last updated
11/20/2018
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