Individual
MRS. JESSICA JOAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACCC-SLP
Contact information
Practice address
705 N MERIDIAN ST, GREENTOWN, IN 46936-1246
(765) 628-3377
Mailing address
705 N MERIDIAN ST, GREENTOWN, IN 46936-1246
(765) 628-2987
(765) 628-2307
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004579A
IN
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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