Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 104100000X | Social Worker |
NPI | 1003168733 |
---|---|
Provider Name | Michelle Milberger |
First Address | Philadelphia, PA 19107-2835 |
Second Address | Philadelphia, PA 19107-2835 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2012 |
Last Update Date | 04/10/2012 |