Individual
LAURA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1705 COLLEGE AVE, CARMI, IL 62821-2258
(618) 382-7311
Mailing address
1705 COLLEGE AVE, CARMI, IL 62821-2258
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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