Individual
KIMBERLY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 PLYMOUTH LN, SCHAUMBURG, IL 60193-2547
(847) 767-6530
Mailing address
430 PLYMOUTH LN, SCHAUMBURG, IL 60193-2547
(847) 767-6530
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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