Individual
MS. JILL MARLENE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA. CCC-SLP
Contact information
Practice address
414 S PINE ST, WALHALLA, SC 29691-2146
(864) 886-4400
Mailing address
PO BOX 308, SALEM, SC 29676-0308
(864) 882-1285
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4637
SC
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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