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General NPI Number Information
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NPI Number | 1336273614
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Entity Type | Individual
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Provider Name | CAROL L. MILLER LCSW, MFT
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Gender | Female
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | AIRPORT EXECUTIVE COMPLEX, SUITE I 7 EASTERWOOD ST.
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City | MILLVILLE
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State | NJ
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Zip | 08332-4816
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Country | US
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Telephone | 856-413-0266
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Fax | 856-413-0267
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Provider Business Mailing Address
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Address Line | 2 HOLLY LN
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City | BRIDGETON
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State | NJ
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Zip | 08302-3717
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Country | US
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Telephone | 856-297-9627
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05170100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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