Provider Demographics
NPI:1972709921
Name:MILLER, ALBERT EUGENE (MSW)
Entity Type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:EUGENE
Last Name:MILLER
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 411
Mailing Address - Street 2:BOX 3753
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09112
Mailing Address - Country:DE
Mailing Address - Phone:01149966-241-6991
Mailing Address - Fax:
Practice Address - Street 1:USAMEDDAC WUERZBURG -PRACTICE LOCATION(VILSECK H.C.)
Practice Address - Street 2:CREDENTIALS UNIT 26610
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09244
Practice Address - Country:DE
Practice Address - Phone:01149931-804-3616
Practice Address - Fax:01149931-804-3241
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCSW-374104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker