Individual
MRS. DIANA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3505 VILLAGE DR, FAYETTEVILLE, NC 28304-4513
(910) 500-1800
Mailing address
3505 VILLAGE DR, FAYETTEVILLE, NC 28304-4513
(910) 500-1800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C012810
NC
1041C0700X
Clinical Social Worker
P010875
NC
Other
Enumeration date
07/03/2018
Last updated
04/07/2021
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