Individual
JESSICA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 E CENTRAL BLVD, KEWANEE, IL 61443-2354
(309) 853-4290
Mailing address
333 16TH AVE, MOLINE, IL 61265-2939
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.007952
IL
Other
Enumeration date
08/19/2024
Last updated
09/04/2024
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