Individual
TRACY M MILLIREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1407 SAINT ANDREW ST STE 100, LA CROSSE, WI 54603-2378
(608) 785-6266
Mailing address
N6618 COUNTY ROAD G, ARKANSAW, WI 54721-9488
(715) 285-5303
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
8028-120
WI
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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