Individual
DOROTHY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 W MAIN ST, GOLDENDALE, WA 98620-9589
(509) 773-5801
Mailing address
PO BOX 959, YAKIMA, WA 98907-0959
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60146709
WA
Other
Enumeration date
03/21/2007
Last updated
03/14/2011
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