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Individual

STACIE R MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3261 US HWY 441, SUITE B3, FRUITLAND PARK, FL 34731-4497
(352) 323-0612
(352) 787-2386
Mailing address
3261 US HWY 441, SUITE B3, FRUITLAND PARK, FL 34731-4497
(352) 323-0612
(352) 787-2386

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
FL
222Q00000X
Developmental Therapist
252Y00000X
Early Intervention Provider Agency

Other

Enumeration date
08/31/2022
Last updated
06/26/2026
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