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Individual

EMMA E MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
47 WATER ST STE 101, MYSTIC, CT 06355-2573
(617) 416-0597
Mailing address
411 STAGE COACH ROW, COLCHESTER, CT 06415-1240
(860) 608-9328

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
895
CT
1041C0700X
Clinical Social Worker
Primary
9953
CT

Other

Enumeration date
11/30/2015
Last updated
10/26/2023
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