Individual
MRS. SAMANTHA ILANA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
8402 CROSS PARK DR, AUSTIN, TX 78754-4595
(512) 697-8535
Mailing address
8402 CROSS PARK DR, AUSTIN, TX 78754-4595
(512) 697-8535
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
54108
TX
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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