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Individual

JESSICA RAE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC/SLP

Contact information

Practice address
300 S SCOTT AVE, NEWTON, IL 62448-1658
(618) 783-2309
Mailing address
808 N EAST ST, OLNEY, IL 62450-2467
(618) 843-5745

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146011877
IL

Other

Enumeration date
06/27/2017
Last updated
06/27/2017
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