Individual
MS. ANISA L MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CDP
Contact information
Practice address
103 S 4TH ST, SUITE 202, SHELTON, WA 98584-3574
(360) 888-5451
(360) 432-0426
Mailing address
5930 SE ARCADIA RD, SHELTON, WA 98584-8330
(360) 888-5451
(360) 432-0426
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
RC00038976
WA
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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