Individual
GENNELL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1247 GREYSTONE RD, HALETHORPE, MD 21227-2302
(301) 706-2333
Mailing address
1247 GREYSTONE RD, HALETHORPE, MD 21227-2302
(301) 706-2333
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
0904018885
VA
104100000X
Social Worker
28564
MD
1041C0700X
Clinical Social Worker
Primary
LC200003495
DC
Other
Enumeration date
06/10/2022
Last updated
01/05/2026
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