MR. Larry Joe Miller
NPI #1124180930 in Fairfield, California
Provider Information
- NPI Number
- 1124180930
- Entity Type
- Individual
- Name
- MR. Larry Joe Miller
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Enumeration Date
- Dec 15, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2206 SANTA CRUZ DR
- City
- Fairfield
- State
- California
- ZIP Code
- 94533
- Phone
- (707) 438-1025
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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