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1003929456
MICHELLE RENNE MILLER
FORT WAYNE, IN
NPI
1003929456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: IN 20042044A)
Enumeration Date
2006-08-17
Last Update Date
2016-07-07
Business Address
Dr. MICHELLE RENNE MILLER Ph.D.
4630 W JEFFERSON BLVD STE 11A
FORT WAYNE, IN 46804-6800
Phone number: 260-434-1606
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Mailing Address
Dr. MICHELLE RENNE MILLER Ph.D.
4630 W JEFFERSON BLVD STE 11A
FORT WAYNE, IN 46804-6800
Phone number: 260-434-1606
Copy
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