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Individual

LOUISA MILES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3195 HILLSIDE DR, DELAFIELD, WI 53018-2189
(262) 646-9960
(262) 646-9961
Mailing address
3195 HILLSIDE DR, DELAFIELD, WI 53018-2189
(262) 646-9960
(262) 646-9961

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16953-130
WI
101YP2500X
Professional Counselor
1821-226
WI
101YP2500X
Professional Counselor
Primary
5633-125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1831530930
WI
Enumeration date
07/17/2013
Last updated
06/29/2022
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