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Individual

MS. BARBARA JANE MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LICSW

Contact information

Practice address
14 PROSPECT ST, ROCKPORT, MA 01966-2132
(978) 546-1615
Mailing address
14 PROSPECT ST, ROCKPORT, MA 01966-2132
(978) 546-1615

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MASWLICSW 105542
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070512
VALUE OPTIONS
01
101075000
MAGELLAN
MA
05
1854470
MA
01
P06855
BCBS,PPO,HMO
Enumeration date
11/08/2006
Last updated
07/08/2007
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