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NPI Code Detail

MEDICARE: MARLENA JOY MILES LCSW

MEDICARE:   MARLENA JOY MILES  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerSW15539FL

General Provider Information

NPI Number : 1922576610
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLENA JOY MILES LCSW
Provider Business Mailing Address
First Line : 531 SUNGLOW DR
Second Line :
City : ORLANDO
State : FL
Zip : 32803-6741
Country : US
Telephone Number : 407-579-7167
Fax Number :
Provider Business Practice Location Address
First Line : 531 SUNGLOW DR
Second Line :
City : ORLANDO
State : FL
Zip : 32803-6741
Country : US
Telephone Number : 407-579-7167
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2018
Last Update Date : 10/05/2023

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Directions to “ MARLENA JOY MILES LCSW” Practice Location

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