Individual
KENNETH MILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, CAS, NCSP
Contact information
Practice address
5 FIDDLELEAF CT, OLNEY, MD 20832-1558
(301) 602-8427
Mailing address
5 FIDDLELEAF CT, OLNEY, MD 20832-1558
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
MD
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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