Individual
JAMIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4739 HIGHWAY 10, JACKSON, LA 70748-3509
(225) 634-1640
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1433
LA
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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