Individual
MOLLY BETH MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 BAXTER PL, JACKSONVILLE, IL 62650-1026
(217) 248-6589
Mailing address
11 BAXTER PL, JACKSONVILLE, IL 62650-1026
(217) 248-6589
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
2466700
IL
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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