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Shaniqua Miles

NPI Registration Record

Provider / OrganizationNPIDate Certified
SHANIQUA MILES17105968042020-07-24
Entity TypeIndividual
Provider Name Shaniqua Miles LCSW
Practice Office Address13934 S STATE ST
RIVERDALE, IL US
Practice Office Telephone7736915306
Mailing Address13934 S STATE ST
RIVERDALE, IL 608272018 US
Business Telephone7736915306
Contact Endpoints
Email [Other][email protected]Direct
HPT Codes
CodeLicense NoState
1041C0700X PRIMARY
OPI Codes

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