Individual
J'TAIA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4910 MAIN ST STE 8, DOWNERS GROVE, IL 60515-3611
(630) 426-9719
Mailing address
4910 MAIN ST STE 8, DOWNERS GROVE, IL 60515-3611
(630) 426-9719
(630) 354-0865
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.115254
IL
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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