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Individual

MRS. REBECCA JEAN MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-S

Contact information

Practice address
2850 5TH AVE, HUNTINGTON, WV 25702-1436
(304) 528-5000
(304) 528-5080
Mailing address
7 FAIRWAY DR, HUNTINGTON, WV 25705-2150
(304) 736-0642

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
32 AND 59
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0152609000
WV
Enumeration date
01/31/2008
Last updated
01/31/2008
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