Individual
ALEXIS MICHELE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
348 MUSKEGON AVE, CALUMET CITY, IL 60409-1935
(773) 896-4887
Mailing address
348 MUSKEGON AVE, CALUMET CITY, IL 60409-1935
(773) 896-4887
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2447604
IL
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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