Individual
ALONA DIANE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2025 WASHINGTON ST, WAUKEGAN, IL 60085-5131
(847) 360-1020
(847) 360-1065
Mailing address
3527 28TH AVE, KENOSHA, WI 53140-2387
(262) 344-5658
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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