Provider Information for 1396100475
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Ms. TRISH ANN MILLER MS,LPC-MHSP
Sex: Female
NPI: 1396100475
Last Updated: 2015-12-16
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1396100475 | ||||||||
| Enumeration Date | 2015-12-16 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 104 E HIGH ST MANCHESTER, TN 37355-1525 United States Phone: 931-723-0380 | Fax: | ||||||||
| Primary Practice Address | 104 E HIGH ST MANCHESTER, TN 37355-1525 United States Phone: 931-723-0380 | Fax: | ||||||||
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