SearchCalifornia1041C0700X

Mary Miller, LCSW

NPI 1508119728 · on the registry since 2012 · sole proprietor

Practice

Address
351 Travis Avenue Building 660
Travis Air Force Base, CA 94535
Phone
(707) 424-2486
Fax
(707) 447-4245

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-10-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California