Individual
LAURA MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 S 11TH ST STE 216, PHILADELPHIA, PA 19107-4223
(267) 603-7126
Mailing address
21 S 11TH ST STE 216, PHILADELPHIA, PA 19107-4223
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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