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Organization

CIPM, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VENERA R MILLER M.D. (OWNER)
(410) 535-6520
Entity
Organization

Contact information

Practice address
242 MERRIMAC COURT, PRINCE FREDERICK, MD 20678-0022
(410) 535-6520
(410) 535-6523
Mailing address
PO BOX 22, PRINCE FREDERICK, MD 20678-0022
(410) 535-6520
(410) 535-6523

Taxonomy

Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
103K00000X
Behavior Analyst
104100000X
Social Worker
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
10/06/2008
Last updated
03/03/2025
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