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Individual

CHRISTINA MARIE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
1401 E STATE ST, CENTER FOR MENTAL HEALTH, ROCKFORD, IL 61104-2315
(779) 696-4123
Mailing address
1401 E STATE ST, CENTER FOR MENTAL HEALTH, ROCKFORD, IL 61104-2315
(779) 696-4123

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209026386
IL

Other

Enumeration date
11/29/2022
Last updated
11/29/2022
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