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Individual

MRS. DOMINEAK SHANTA MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DOULA

Contact information

Practice address
212 S UNIVERSITY AVE, CARBONDALE, IL 62901-2925
(773) 655-8103
Mailing address
212 S UNIVERSITY AVE, CARBONDALE, IL 62901-2925
(773) 655-8103

Taxonomy

Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
IL

Other

Enumeration date
11/10/2025
Last updated
04/23/2026
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