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Individual

ASHLEE MARIE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MT-BC

Contact information

Practice address
1910 SAINT JOE CENTER RD, FORT WAYNE, IN 46825-5000
(260) 494-1675
Mailing address
4326 FAIRFIELD AVE, FORT WAYNE, IN 46807-2715

Taxonomy

Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
15524
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15524
THE CERTIFICATION BOARD OF MUSIC THERAPIST
Enumeration date
05/06/2022
Last updated
05/06/2022
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