Individual
ALEXIS MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 W STATE ST, NORTH BALTIMORE, OH 45872-1332
(567) 207-6375
Mailing address
115 W STATE ST, NORTH BALTIMORE, OH 45872-1332
(567) 207-6375
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CDCA.179359
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5037
CASE MANGER
OH
Enumeration date
01/28/2022
Last updated
01/28/2022
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