Kathleen Miller, Lsw, Psc | |
Ida Towers Ofc 101012th Altoona PA 16601-3411 | |
(814) 505-4241 | |
Not Available |
Full Name | Kathleen Miller, Lsw, Psc |
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Speciality | Community/behavioral Health |
Location | Ida Towers Ofc 101012th, Altoona, Pennsylvania |
Authorized Official Name and Position | Kathleen Brighid Miller (SOLE PROPRIETOR) |
Authorized Official Contact | 8145054241 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kathleen Miller, Lsw, Psc 120 Evergreen Ln Martinsburg PA 16662-7059 Ph: (814) 505-4241 | Kathleen Miller, Lsw, Psc Ida Towers Ofc 101012th Altoona PA 16601-3411 Ph: (814) 505-4241 |
NPI Number | 1174838668 |
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Provider Enumeration Date | 08/09/2010 |
Last Update Date | 02/04/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174838668 | NPI | - | NPPES |
102394936 0001 | Other | PA | MA NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | SW127247 (Pennsylvania) | Primary |
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