Individual
KIMBERLY SIMMERMAN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1354 8TH ST SW, ROANOKE, VA 24015-1812
(540) 342-4048
Mailing address
5622 PENGUIN DR, ROANOKE, VA 24018-4857
(540) 581-2276
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
RBT-15-08007
VA
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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