Individual
CRYSTAL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3441 SHERIDAN RD, ZION, IL 60099-3662
(847) 872-1700
Mailing address
2112 28TH ST, KENOSHA, WI 53140-5018
(858) 205-2936
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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