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Individual

DR. MICHELLE L MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1645 W JACKSON BLVD STE 400, CHICAGO, IL 60612-3244
(312) 942-8258
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071.010247
IL
103TC0700X
Clinical Psychologist
Primary
20043420A
IN

Other

Enumeration date
04/23/2020
Last updated
03/24/2021
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