Individual
CAROLYN MARION MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S
Contact information
Practice address
1435 JEFFERSON AVE, DOWNERS GROVE, IL 60516-1236
(630) 719-5840
Mailing address
1435 JEFFERSON AVE, DOWNERS GROVE, IL 60516-1236
(630) 719-5840
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2086076
IL
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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