Individual
MELONIE MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4109 N 91ST ST, MILWAUKEE, WI 53222-1607
(414) 403-8378
Mailing address
4109 N 91ST ST, MILWAUKEE, WI 53222-1607
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PAR-0000931518
WI
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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