Individual
AMANDA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3416 N DAMEN AVE APT 1F, CHICAGO, IL 60618-6179
(419) 265-0849
Mailing address
3416 N DAMEN AVE APT 1F, CHICAGO, IL 60618-6179
(419) 265-0849
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
IL
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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