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Organization

WKM PSYCHOLOGY CLINICS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM KENT MILLER ED.D. (CLINIC DIRECTOR)
(608) 342-4853
Entity
Organization

Contact information

Practice address
6058 S CHESTNUT ST, SUITE 100, PLATTEVILLE, WI 53818-8947
(608) 342-4853
(608) 342-4810
Mailing address
6058 S CHESTNUT ST, SUITE 100, PLATTEVILLE, WI 53818-8947
(608) 342-4853
(608) 342-4810

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
864
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42146000
WI
Enumeration date
07/31/2006
Last updated
08/22/2020
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