Individual
MS. STACY L MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.C.C
Contact information
Practice address
6500 EMERALD PKWY, STE 100, DUBLIN, OH 43016-6235
(614) 503-0664
(614) 503-0665
Mailing address
6500 EMERALD PKWY, STE 100, DUBLIN, OH 43016-6235
(614) 503-0664
(614) 503-0665
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C.0701075
OH
Other
Enumeration date
08/26/2008
Last updated
08/14/2016
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