Individual
MISS PATRICIA ANN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACIT
Contact information
Practice address
4218 WESTERN AVE, SOUTH BEND, IN 46619
(574) 233-1524
(574) 293-1612
Mailing address
4218 WESTERN AVE, SOUTH BEND, IN 46619
(574) 233-1524
(574) 293-1612
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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