Individual
CHARLOTTE JANE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
816 N KEENE WAY DR APT B, MEDFORD, OR 97504-6513
(315) 854-7761
Mailing address
823 CAROLINE ST, OGDENSBURG, NY 13669-3303
(315) 854-7761
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16858
OR
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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