Individual
SUZANNE OLIVIA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW CSAC
Contact information
Practice address
102 HERITAGE WAY NE, SUITE 302 LOUDOUN COUNTY MENTAL HEALTH, LEESBURG, VA 20176
(703) 771-5100
(703) 771-0170
Mailing address
13458 MUIRKIRK LANE, HERNDON, VA 20171
(703) 771-5100
(703) 777-0170
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904005780
VA
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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