Individual
TECORA LAVON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 10TH AVE SE, OLYMPIA, WA 98501-1566
(360) 819-3869
Mailing address
1011 10TH AVE SE, OLYMPIA, WA 98501-1566
(360) 819-3869
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/25/2017
Last updated
06/27/2019
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