Individual
TONJIA MARIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SW
Contact information
Practice address
410 CYPRESS AVE, CLARKSDALE, MS 38614-2610
(662) 902-1503
(662) 624-4462
Mailing address
410 CYPRESS AVE, CLARKSDALE, MS 38614-2610
(662) 902-1503
(662) 624-4462
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
10
MS
Other
Enumeration date
01/07/2015
Last updated
01/08/2015
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