Individual
MR. GEORGE FRED MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
3506 E BROAD ST, RICHMOND, VA 23223-7456
(804) 919-7671
Mailing address
3506 E BROAD ST, RICHMOND, VA 23223-7456
(804) 919-7671
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004613
VA
Other
Enumeration date
01/10/2007
Last updated
12/08/2010
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