| Doctor Name: | MARY SOISSON MILLER |
| NPI Number: | 1194892976 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LISW |
| License Number: | I-0008529 |
| Business Practice Address: | 550 North Main Street Suite B Springboro, OH - 450667520 |
| Business Phone Number: | 9377488201 |
| Business Fax Number: | 9377488206 |
| Mailing Address: | 550 North Main Street, Suite B SPRINGBORO |
| State: | OH |
| Postal Code: | 450667520 |
| Phone Number: | 9377488201 |
| Fax Number: | 9377488206 |
| NPI Enumeration Date: | 11/29/2006 |
| NPI Last Update Date: | 03/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | I-0008529 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |