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Individual

NANCY MILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
697 PRO-MED LN, CARMEL, IN 46032-5323
(317) 574-1254
(317) 574-1230
Mailing address
17840 CUMBERLAND RD, NOBLESVILLE, IN 46060-5409
(317) 574-1254
(317) 574-1230

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100073590
IN
Enumeration date
08/09/2010
Last updated
08/09/2010
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