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Individual

MS. WANDA D MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCDC

Contact information

Practice address
4701 SAMUELL BLVD, DALLAS, TX 75228-6828
(972) 861-5611
Mailing address
612 JONES ST, EULESS, TX 76040-5127

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10112
TX

Other

Enumeration date
03/06/2026
Last updated
03/10/2026
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