Individual
AMELIA K MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 PATTON DR, MAHOMET, IL 61853-8116
(217) 586-3749
Mailing address
2112 O DONNELL DR, CHAMPAIGN, IL 61821-6467
(512) 750-7888
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.010019
IL
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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