Individual
AMBER L MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
408 PARK ST SE, VIENNA, VA 22180-5805
(703) 772-0476
Mailing address
408 PARK STREET SE, VIENNA, VA 22180
(703) 772-0476
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
16761
MD
1041C0700X
Clinical Social Worker
Primary
LC50079682
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LC50079682
WASHINGTON DC LICSW SOCIAL WORK LICENSE
DC
Enumeration date
05/31/2013
Last updated
05/31/2013
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