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Individual

MRS. KATHLEEN BRIGHID MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
IDA TOWERS, 1010 12TH STREET, ALTOONA, PA 16601-3411
(814) 505-4241
Mailing address
120 EVERGREEN LN, MARTINSBURG, PA 16662-7059
(814) 505-4241

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
SW127247
PA
1041C0700X
Clinical Social Worker
Primary
CW016859
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
102394936 0001
MA NUMBER
PA
Enumeration date
11/06/2009
Last updated
02/11/2011
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