Individual
JENNIFER FAE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
CALUMET HIGH SCHOOL, 3900 CALHOUN ST., DOOR R, GARY, IN 46408
(219) 240-1851
Mailing address
6914 OLD PORTER CT APT 1, PORTAGE, IN 46368-1779
(219) 331-4305
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34009407A
IN
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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