Individual
SHELLY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5875 STATE ROUTE 193, KINGSVILLE, OH 44048-9794
(440) 224-0281
Mailing address
5875 STATE ROUTE 193, KINGSVILLE, OH 44048-9794
(440) 224-0281
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
S 0012698
OH
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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