MEDICARE: MARIE DAWN MILLER 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
1	1041C0700X	Clinical Social Worker	LC20139	ME

General Provider Information

NPI Number	:	1174281695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIE DAWN MILLER LCSW

Provider Business Mailing Address
First Line	:	1 WHITTIER ST
Second Line	:
City	:	DOVER FOXCROFT
State	:	ME
Zip	:	04426-3730
Country	:	US
Telephone Number	:	207-357-3669
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 WHITTIER ST
Second Line	:
City	:	DOVER FOXCROFT
State	:	ME
Zip	:	04426-3730
Country	:	US
Telephone Number	:	207-357-3669
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2021
Last Update Date	:	05/20/2026

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Directions to “ MARIE DAWN MILLER LCSW” Practice Location

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