Individual
MS. NICOLE ANN MILLERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
404 N MAIN ST STE 503, OSHKOSH, WI 54901-4952
(920) 267-0137
Mailing address
531 PYLE AVE, OSHKOSH, WI 54901-3923
(920) 267-0137
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8364-123
WI
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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