Individual
SHELLEY LEE MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1622 S 84TH ST, WEST ALLIS, WI 53214-4433
(414) 257-3951
(262) 229-9681
Mailing address
W260N9271 HWY 164, COLGATE, WI 53017-9600
(414) 550-4902
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
01/28/2022
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