Provider Information for 1336558147
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MICHELLE MILLER MS, LMHC
Sex: Female
NPI: 1336558147
Last Updated: 2020-04-28
Certification Date: 2020-04-28
Certification Date: 2020-04-28
Details
| Name | Value | ||||||||
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| NPI | 1336558147 | ||||||||
| Enumeration Date | 2014-08-06 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1353 E MAIN ST BROWNSBURG, IN 46112-1433 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 1353 E MAIN ST BROWNSBURG, IN 46112-1433 United States Phone: 317-520-4748 | Fax: | ||||||||
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