Individual
CHARLOTTE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
7267 N MCVICKER AVE, CHICAGO, IL 60646-1258
(312) 291-6344
Mailing address
7267 N MCVICKER AVE, CHICAGO, IL 60646-1258
(312) 291-6344
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/31/2020
Last updated
01/11/2021
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