Individual
STEPHANIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.C.S.W.
Contact information
Practice address
2618 N 61ST ST, MILWAUKEE, WI 53213
(414) 622-0315
(414) 306-7171
Mailing address
2618 N 61ST ST, MILWAUKEE, WI 53213-1540
(414) 622-0315
(414) 306-7171
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8463-123
WI
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
02/28/2012
Last updated
07/17/2018
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