Individual
KRISTINE ANN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2851 UNIVERSITY AVE, GREEN BAY, WI 54311-5855
(920) 431-2500
Mailing address
3093 SAINT GREGORY DR, GREEN BAY, WI 54311-5950
(920) 634-1176
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
128328-12
WI
104100000X
Social Worker
Primary
128328-121
WI
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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