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Individual

MRS. CAROL LEE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SPT

Contact information

Practice address
18 COUNTY CENTER DRIVE, OROVILLE, CA 95965
(530) 538-7705
(530) 538-2161
Mailing address
PO BOX 471, BANGOR, CA 95914
(530) 679-0862

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT23308
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT23308
PSYCHIATRIC TECHNICIAN
CA
Enumeration date
11/17/2006
Last updated
07/21/2020
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