Individual
ALLY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
806 N 1ST ST, HIAWATHA, KS 66434-1519
(620) 717-3238
Mailing address
806 N 1ST ST, HIAWATHA, KS 66434-1519
(620) 717-3238
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
06/20/2023
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