Individual
MS. MIRANDA MARIE MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 ARTHUR DR, ROCHESTER, IL 62563-9209
(217) 498-6924
Mailing address
10 ARTHUR DR, ROCHESTER, IL 62563-9209
(217) 498-6924
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/19/2008
Last updated
04/19/2008
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