Individual
JENNIFER MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 N 26TH ST STE 201, LAFAYETTE, IN 47904-2856
(765) 446-6535
(765) 446-6536
Mailing address
415 N 26TH ST STE 201, LAFAYETTE, IN 47904-2856
(765) 446-6535
(765) 446-6536
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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