Provider Information for 1740626415
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JENNIFER SHERMAN MILLER M.Ed.
Sex: Female
NPI: 1740626415
Last Updated: 2014-04-05
Certification Date:
Certification Date:
Details
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NPI | 1740626415 | ||||||||
Enumeration Date | 2013-05-21 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 1309 MADISON AVE WINSTON SALEM, NC 27103-5133 United States Phone: 704-307-3722 | Fax: | ||||||||
Primary Practice Address | 2430 REYNOLDA RD B WINSTON SALEM, NC 27106-4626 United States Phone: 704-307-3722 | Fax: | ||||||||
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