Individual
JENNIFER MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
9850 LORI RD STE 101, CHESTERFIELD, VA 23832-6758
(804) 621-4034
(804) 621-4091
Mailing address
8318 SHAGREEN CT, CHESTERFIELD, VA 23838-5126
(410) 596-3436
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
13034
LA
1041C0700X
Clinical Social Worker
Primary
0904010115
VA
Other
Enumeration date
02/11/2016
Last updated
03/17/2018
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