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Individual

ALLISON R MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
910 N JEFFERSON ST, JACKSONVILLE, FL 32209-6810
(904) 360-7022
(904) 798-4544
Mailing address
910 N JEFFERSON ST, JACKSONVILLE, FL 32209-6810
(904) 360-7022
(904) 798-4544

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
812173700
FL
Enumeration date
01/09/2008
Last updated
04/23/2008
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