Individual
HALEY SUSAN CHALLONER MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1655 W MEQUON RD, MEQUON, WI 53092-3254
(262) 240-9744
(262) 240-9745
Mailing address
1655 W MEQUON RD, MEQUON, WI 53092-3254
(262) 240-9744
(262) 240-9745
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9573-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801061064
—
WI
Enumeration date
05/24/2019
Last updated
10/05/2021
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