JEROME MILLER

DES MOINES, IA
NPI1396146163
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA  14007)
Enumeration Date2014-09-10
Last Update Date2014-09-10
Business Address
Mr. JEROME MILLER
3115 DOUGLAS AVE
DES MOINES, IA 50310-5307
Phone number: 515-282-8001
Mailing Address
Mr. JEROME MILLER
3115 DOUGLAS AVE
DES MOINES, IA 50310-5307
Phone number:
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