Individual
JACQUELYNN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
4213 US RT 12, RICHMOND, IL 60071
(815) 678-4242
Mailing address
9412 GLACIER RDG, RICHMOND, IL 60071-9004
(815) 678-4242
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
493431
IL
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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