Individual
PAMELA LUCILLE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
245 W EXCHANGE ST STE 4, SYCAMORE, IL 60178-1495
(815) 895-9227
(815) 895-2971
Mailing address
1342 PROSSER DR, SYCAMORE, IL 60178-1112
(815) 895-8071
(815) 895-2971
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
PM28900196P
IL
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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