Individual
ALLISON MILAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 DEERHAVEN DR, GLEN DANIEL, WV 25844
(304) 890-6268
Mailing address
PO BOX 701, GLEN DANIEL, WV 25844-0701
(304) 890-6268
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
12/19/2024
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