Individual
MRS. ROXANNE L MILLIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
606 N BOBBY JONES DR, PAYSON, AZ 85541-3403
(928) 242-0773
Mailing address
3652 N CEMETERY ROAD, PINE, AZ 85544
(928) 242-0773
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
4766962
AZ
385HR2055X
Child Mental Illness Respite Care
4766962
AZ
Other
Enumeration date
08/19/2013
Last updated
03/11/2020
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