Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | CW017786 | PA |
NPI | 1003185984 |
---|---|
Provider Name | Sarah A Miller |
First Address | Allentown, PA 18104-4354 |
Second Address | Allentown, PA 18102-2802 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2011 |
Last Update Date | 13/11/2013 |