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Individual

MS. SHUNTA M MILAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AAS, BA, M.ED, MBA

Contact information

Practice address
201 CHESHIRE CT, BOLINGBROOK, IL 60440-2033
(630) 901-2181
Mailing address
201 CHESHIRE CT, BOLINGBROOK, IL 60440-2033
(630) 901-2181

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
03/05/2010
Last updated
03/05/2010
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