Individual ProviderGary M MillerSocial WorkerBehavioral Health & Social Service ProvidersPractice Address211 N Monroe St, Second Floor, Media, PA 19063-3019(302) 325-2169PECOS EnrollmentBased on the most recent information from CMS, provider Gary M Miller does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1396864435Provider TypeIndividualFull NameMiller, Gary MTitleMr.CredentialM.S.W., L.S.W.GenderMaleSole ProprietorYesEnumeration Date3/28/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address211 N Monroe St, Second Floor, Media, PA 19063-3019Phone(302) 325-2169Fax(215) 849-0500Mailing LocationMailing Address3210 Christiana Mdws, Bear, DE 19701-2863Phone(302) 325-2169Fax(215) 849-0500Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseSW000982EPennsylvania