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Individual

HOLLIE MILES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1905 HUGUENOT RD STE 303C, NORTH CHESTERFIELD, VA 23235
(804) 346-6327
Mailing address
PO BOX 72984, NORTH CHESTERFIELD, VA 23235-8023
(434) 572-7184

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710102921
VA
1041C0700X
Clinical Social Worker
Primary
0904009557
VA

Other

Enumeration date
08/04/2016
Last updated
11/08/2019
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