Individual
MOLLY LYNN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1541 ANNEX RD, JEFFERSON, WI 53549-9803
(920) 728-4281
Mailing address
1329 MONTCLAIR PL, FORT ATKINSON, WI 53538-1382
(920) 723-7280
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
WI
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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