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Individual
MISS LAURA DALE MILLER
Active
Individual
MISS LAURA DALE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
201103230
KY
Other
Enumeration date
01/05/2010
Last updated
05/18/2018
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