De'Andre L Miller Sr., CD, CHW
De'Andre L Miller Sr., CD, CHW is a Community/Behavioral Health Agency in Alton, Illinois. Practices as a sole proprietor. Licensed in Illinois and Missouri.
- Licensed in
- IL, MO
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
1918 Jersey StAlton, IL 62002-4643
Phone: (618) 606-3748
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Specialties & licences
| Doula (primary) | Taxonomy 374J00000X (IL) |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X (MO) |
Record details
| NPI number | 1639989700 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CD , CHW |
| Sole proprietor | Yes |
| NPI enumerated | January 10, 2025 |
| Last updated in NPPES | January 10, 2025 |
| Certification date | January 10, 2025 |
| Mailing address | 1918 Jersey St, Alton, IL 62002-4643 |
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