Individual
MS. CHASITY NICOLE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
709 DAVIDSON ST, TULLAHOMA, TN 37388-3607
(931) 619-2782
Mailing address
709 DAVIDSON ST, TULLAHOMA, TN 37388-3607
(931) 619-2782
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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