Individual
BRYAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15255 US 43 #3, RUSSELLVILLE, AL 35653
(256) 277-9440
Mailing address
15255 US 43 #3, RUSSELLVILLE, AL 35653
(256) 277-9440
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C3735A
AL
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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