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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

Details

NameValue
NPI1144351552
Enumeration Date2007-03-08
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
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:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 1041C0700X - Social Worker - ClinicalFL21204
No 1041C0700X - Social Worker - ClinicalNYR-041170-1
Yes 104100000X - Social Worker MI6801101509