JACK PHILIP MILLER

FORT WAYNE, IN
NPI1528587680
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-09-11
Last Update Date2017-09-11
Business Address
JACK PHILIP MILLER
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-482-9125
Mailing Address
JACK PHILIP MILLER
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number:
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