MARK CONRAD MILLER

URBANA, OH
NPI1457563298
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OH  I. 0005559)
Enumeration Date2007-05-04
Last Update Date2007-07-08
Business Address
-- MARK CONRAD MILLER LISW
1150 SCIOTO ST
URBANA, OH 43078-2289
Phone number: 937-652-4555
Mailing Address
-- MARK CONRAD MILLER LISW
4705 ALLISON RD
MECHANICSBURG, OH 43044-9706
Phone number: 937-652-4555
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