Individual
LORELLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11174 W BOX CANYON CT, STAR, ID 83669-5672
(909) 262-7968
Mailing address
10740 W FAIRVIEW AVE STE 100, BOISE, ID 83713-8050
(208) 376-0191
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LMSW-44279
ID
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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