Individual
MADELINE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 PAINE ST, DECORAH, IA 52101-2411
(563) 223-8761
Mailing address
1111 PAINE ST, DECORAH, IA 52101-2411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
123898
IA
Other
Enumeration date
10/04/2024
Last updated
10/15/2024
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