Individual
COURTNEY MICHELLE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17039 OAK ST, DILLWYN, VA 23936-3019
(434) 394-0703
Mailing address
5944 W JAMES ANDERSON HWY, GLADSTONE, VA 24553-3707
(434) 316-8478
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
VA
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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