Individual
MRS. KATHLEEN BRIGHID MILLER
Active
Individual
MRS. KATHLEEN BRIGHID MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
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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