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SUSAN R MILLER LMFT 1710988621

Overview
Name: SUSAN R MILLER LMFT Specialty: Professional Counselor Type of Practice: Individual provider Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Behavioral Health & Social Service Providers Classification: Counselor Specialization: Professional. Definition of Specialty: Definition to come…
License & NPI
License #(s): 35001566A, , , , License State(s): IN, , , ,
Addresses
Practice Location: 850 N HARRISON ST,WARSAW,IN,465803163,US Mailing Address: 2100 GOSHEN RD,FORT WAYNE,IN,468081493,US
Contact #
Practice location phone #: 5742677169 Practice location fax #: 5742693995 Mailing address Phone #: 2604713500 Mailing Address fax #: 2604714263 Authorized official Name/Telephone #:
Misc
Date NPI was obtained: 08/02/2005 Last data data was updated: 07/08/2007 Insurances:
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