Individual
KELSEY LYNN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 MILL RUN CT, MEDFORD, NJ 08055-2436
(609) 440-5792
Mailing address
70 SETAUKET TRL, MEDFORD LAKES, NJ 08055-1409
(609) 351-4388
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
21-155700
NJ
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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