| Doctor Name: | MRS. TERESA KAY MILLER |
| NPI Number: | 1104860238 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LCSW |
| License Number: | 1377075 |
| Business Practice Address: | 205 S Silas Ave Mc Leansboro, IL - 628591135 |
| Business Phone Number: | 6182372906 |
| Business Fax Number: | 6186433128 |
| Mailing Address: | Rr 1 Box 284a, MC LEANSBORO |
| State: | IL |
| Postal Code: | 628599785 |
| Phone Number: | 6182372906 |
| Fax Number: | 6186433128 |
| NPI Enumeration Date: | 06/16/2006 |
| NPI Last Update Date: | 04/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | 1377075 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |