Provider Information for 1376216101
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MELISSA MILLER LCSW
Sex: Female
NPI: 1376216101
Last Updated: 2024-09-10
Certification Date: 2024-09-10
Certification Date: 2024-09-10
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1376216101 | ||||||||||||||||
| Enumeration Date | 2021-07-28 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 36995 MALLARD DR SELBYVILLE, DE 19975-3223 United States Phone: 215-534-2629 | Fax: | ||||||||||||||||
| Primary Practice Address | 328 N SCOTT AVE GLENOLDEN, PA 19036-1341 United States Phone: 215-534-2629 | Fax: | ||||||||||||||||
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