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1013101351
CHANTELLE LA TREICE MILLER
LOS ANGELES, CA
NPI
1013101351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225C00000X Rehabilitation Counselor
(Licence: CA RPS2009026)
Enumeration Date
2007-08-29
Last Update Date
2011-04-14
Business Address
-- CHANTELLE LA TREICE MILLER Psy.D.
6617 5TH AVE
LOS ANGELES, CA 90043-4532
Phone number: 310-404-4809
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Mailing Address
-- CHANTELLE LA TREICE MILLER Psy.D.
2500 WILSHIRE BLVD FL 5
LOS ANGELES, CA 90057-4303
Phone number: 213-639-0266
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