De'andre L Miller SR., CD,CHW

NPI #1639989700 in Alton, Illinois

Provider Information

NPI Number: 1639989700
Entity Type: Individual
Name: De'andre L Miller SR., CD,CHW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Doula
Credential: CD,CHW
Enumeration Date: Jan 10, 2025
Last Updated: Jan 10, 2025

Practice Location

Address: 1918 JERSEY ST
City: Alton
State: Illinois
ZIP Code: 62002-4643
Phone: (618) 606-3748

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Doula	374J00000X	Primary

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