Individual
AMY M MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, SSP, NCSP
Contact information
Practice address
1000 N MAIN ST, ANNA, IL 62906-1652
(618) 833-4541
(618) 833-4833
Mailing address
1000 N MAIN ST, ANNA, IL 62906-1652
(618) 833-4541
(618) 833-4833
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1830850
IL
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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