Individual
DE'ANDRE L MILLER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CD,CHW
Contact information
Practice address
1918 JERSEY ST, ALTON, IL 62002-4643
(618) 606-3748
Mailing address
1918 JERSEY ST, ALTON, IL 62002-4643
(618) 606-3748
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
MO
374J00000X
Doula
Primary
—
IL
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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