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Individual

AMBER TENNILLE MIFFLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.A.D.C.

Contact information

Practice address
11191 ILLINOIS ROUTE 185, HILLSBORO, IL 62049-2664
(217) 532-2001
(217) 532-6361
Mailing address
11191 ILLINOIS ROUTE 185, HILLSBORO, IL 62049-2664
(217) 532-2001
(217) 532-6361

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
04/18/2007
Last updated
10/03/2014
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