Individual
JENNIFER MAYE MILLIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 256-1901
Mailing address
315 LUCILLE ST, VERONA, WI 53593-1058
(815) 217-5701
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4045
WI
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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