Individual
JOANNA R MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D
Contact information
Practice address
155 MAPLE ST, SPRINGFIELD, MA 01105-2649
(413) 285-8722
Mailing address
35 LOSITO LN, AGAWAM, MA 01001-3607
(413) 348-0056
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
939
MA
Other
Enumeration date
01/25/2020
Last updated
01/25/2020
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