Individual
MS. STARLA JO MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
333 W LEROUX ST UNIT D3, PRESCOTT, AZ 86303-4262
(928) 771-9496
Mailing address
333 W LEROUX ST UNIT D3, PRESCOTT, AZ 86303-4262
(928) 771-9496
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-19428
AZ
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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