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Individual

ROXANNE L MILLER-SINCLAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
151 N MAIN ST, DECATUR, IL 62523-1206
(217) 362-6262
Mailing address
PO BOX 710, DECATUR, IL 62525-0710
(217) 362-6262

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180-000376
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
180-000376
LCPC LICENSURE
IL
Enumeration date
04/23/2007
Last updated
07/08/2007
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