Individual
CARLY MILLINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11570 E 126TH ST, FISHERS, IN 46037-9592
(317) 204-3736
Mailing address
16763 LAKEVILLE XING, WESTFIELD, IN 46074-8208
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2017024477
MO
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/09/2018
Last updated
05/16/2022
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