Individual
ELAINE MARSHA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 N EAST ST STE 102, CARLINVILLE, IL 62626-1309
(217) 854-6068
Mailing address
209 N EAST ST STE 102, CARLINVILLE, IL 62626-1309
(217) 854-6068
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-002262
IL
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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