Individual
ADDRIANNE MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 W KILGORE AVE, MUNCIE, IN 47304-4810
(765) 289-5437
(765) 741-5269
Mailing address
405 S. MORRISON RD., APT. 159, MUNCIE, IN 47304
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/18/2012
Last updated
05/18/2012
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