Individual
MISS KENLYN BECKY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
651 SHEPHERD AVE, BROOKLYN, NY 11208-3626
(347) 564-8963
Mailing address
651 SHEPHERD AVE, BROOKLYN, NY 11208-3626
(347) 564-8963
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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