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Individual

SHAYLA MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1 LUPTON AVE # 08096, WOODBURY, NJ 08096-5901
(856) 693-5775
Mailing address
20 BRACE RD STE 202, CHERRY HILL, NJ 08034-2634
(856) 522-4061

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37FA00038200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0991317
NJ
Enumeration date
11/08/2023
Last updated
07/23/2024
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