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Individual

ROBERT C. MILES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S. ED. LCSW

Contact information

Practice address
N3152 STATE RD. 81, GREEN COUNTY HUMAN SERVICES, MONROE, WI 53566-8821
(608) 328-9311
(608) 328-9490
Mailing address
N3152 STATE RD. 81, GREEN COUNTY HUMAN SERVICES, MONROE, WI 53566-9397
(608) 328-9311
(608) 328-9490

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
904-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39615600
WI
Enumeration date
04/22/2008
Last updated
04/22/2008
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