Individual
MRS. JILL ANN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
200 W SOUTH ST, CENTERVILLE, IN 47330-1449
(765) 855-5132
(765) 855-5719
Mailing address
200 W SOUTH ST, CENTERVILLE, IN 47330-1449
(765) 855-5132
(765) 855-5719
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1592554
IN
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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