Individual
MRS. MARY E MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.S.W.
Contact information
Practice address
530 GLEN AVE, ROMEOVILLE, IL 60446-1211
(630) 624-6743
Mailing address
746 EUCLID AVE, GLEN ELLYN, IL 60137-3836
(630) 858-4161
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
11/10/2005
Last updated
07/08/2007
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