Individual
SUSAN K MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCT
Contact information
Practice address
121 W MAIN ST, C/O OZAUKEE COUNTY DEPARTMENT OF HUMAN SERVICES, PORT WASHINGTON, WI 53074-1813
(262) 284-8200
(262) 284-8104
Mailing address
3127 W WOODFIELD DR, MEQUON, WI 53092-2455
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1671-226
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
17072-130
WI
Other
Enumeration date
02/28/2013
Last updated
01/14/2014
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