Individual
CHARISSA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3208 LONG PRAIRIE RD STE D, FLOWER MOUND, TX 75022-4960
(972) 874-9400
Mailing address
PO BOX 270431, FLOWER MOUND, TX 75027-0431
(972) 874-9400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
107864
TX
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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