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Individual

DR. KIM MARIE MIILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, PSYD

Contact information

Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-7482
(708) 520-1996
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.008910
IL
103TC0700X
Clinical Psychologist
13-01P
AR

Other

Enumeration date
11/03/2009
Last updated
12/01/2022
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