Provider Information for 1144351552
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Ms. NAN IRENE MILLER LCSW
Sex: Female
NPI: 1144351552
Last Updated: 2023-09-27
Certification Date: 2023-09-27
Certification Date: 2023-09-27
Details
Name | Value | ||||||||||||||||
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NPI | 1144351552 | ||||||||||||||||
Enumeration Date | 2007-03-08 | ||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||
Sole Proprietor | YES | ||||||||||||||||
Status | Active | ||||||||||||||||
Mailing Address | 82 MONACO B DELRAY BEACH, FL 33446-1903 United States Phone: 248-339-6548 | Fax: | ||||||||||||||||
Primary Practice Address | 82 MONACO B DELRAY BEACH, FL 33446-1903 United States Phone: 248-339-6548 | Fax: | ||||||||||||||||
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