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1386243608
ELIAS JABREEL MILLER
LOUISVILLE, KY
NPI
1386243608
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 251932)
Enumeration Date
2020-10-19
Last Update Date
2020-10-19
Business Address
ELIAS JABREEL MILLER
1700 CARGO CT
LOUISVILLE, KY 40299-1938
Phone number: 502-749-6764
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Mailing Address
ELIAS JABREEL MILLER
3430 WIZARD AVE
LOUISVILLE, KY 40215-2749
Phone number: 502-777-0657
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