Individual
TIOMTHY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW-CC
Contact information
Practice address
124 THIRD ST APT 2, AUBURN, ME 04210-6794
(207) 450-9158
Mailing address
124 THIRD ST APT 2, AUBURN, ME 04210-6794
(207) 450-9158
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC15551
ME
Other
Enumeration date
04/01/2017
Last updated
04/01/2017
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