Individual
MRS. CHANDRA LYNN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10458 ECKERT RD SW, BALTIC, OH 43804-9023
(330) 897-0664
Mailing address
10458 ECKERT RD SW, BALTIC, OH 43804-9023
(330) 401-7849
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
OH
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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