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MS. MARY H MILLER LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1508119728

Individual Registrant:
MS. MARY H MILLER LCSW
Gender: F
Sole Proprietor

Location and contact information for practice:
351 TRAVIS AVENUE BUILDING 660  TRAVIS AIR FORCE BASE, CA 94535 US
Tel: 707-424-2486  Fax: 707-447-4245

Contact information for business:
453 YOUNGSDALE DR  VACAVILLE, CA 95687-7380 US
Tel: 707-290-6125  Fax: 707-447-4245

Registration Information:
NPI: 1508119728
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
NE1556

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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