KERMIT RANDALL MILLER

FORT WAYNE, IN
NPI1285822320
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-10-12
Last Update Date2007-10-12
Business Address
-- KERMIT RANDALL MILLER MA
2821 HILLEGAS RD
FORT WAYNE, IN 46808-3859
Phone number: 260-471-1950
Mailing Address
-- KERMIT RANDALL MILLER MA
2821 HILLEGAS RD
FORT WAYNE, IN 46808-3859
Phone number: 260-471-1950
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