Individual
SUSAN K MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
903 MINERAL POINT AVE, JANESVILLE, WI 53548-2970
(608) 756-5555
(608) 756-0174
Mailing address
903 MINERAL POINT AVE, JANESVILLE, WI 53548-2970
(608) 756-5555
(608) 756-0174
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4192
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1595519492
DEANHEALTH PLAN
WI
05
—
39692300
—
WI
01
—
MILLESUS-MO
MERCYCARE INSURANCE
WI
Enumeration date
01/22/2007
Last updated
06/28/2012
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