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Individual

CRYSTAL MARIE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-C

Contact information

Practice address
8221 TEAL DR STE 405, EASTON, MD 21601-7212
(410) 219-5070
Mailing address
1118 E MAIN ST, SALISBURY, MD 21804-4460
(410) 219-5070
(888) 796-4892

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
23610
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
609500300
MD
05
609500301
MD
05
609500303
MD
05
609550002
MD
Enumeration date
01/03/2013
Last updated
07/27/2021
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