Individual
AMY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 E GILBERT ST # 4, SAN BERNARDINO, CA 92415-0911
(909) 387-8645
Mailing address
900 E GILBERT ST # 4, SAN BERNARDINO, CA 92415-0911
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26705
CA
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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