Individual
LAURA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1169 KILBERY LN, NORTH AURORA, IL 60542-4602
(630) 854-2943
Mailing address
1169 KILBERY LN, NORTH AURORA, IL 60542-4602
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
LS98770806P
IL
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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