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1568021137
KIM MILLER
DIXON, IL
NPI
1568021137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL 25047)
Enumeration Date
2019-06-07
Last Update Date
2019-06-07
Business Address
KIM MILLER CADC
748 TIMBER CREEK RD
DIXON, IL 61021-9564
Phone number: 815-284-3940
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Mailing Address
KIM MILLER CADC
602 S SUMMER HILL RD
POLO, IL 61064-9101
Phone number: 815-973-0450
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