Individual
KRISTY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
459 E 1ST ST, FOND DU LAC, WI 54935-4505
(920) 929-3956
Mailing address
459 E 1ST ST, FOND DU LAC, WI 54935-4505
(920) 929-3956
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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