Individual
WALLACE MARTIN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
2130 E HOWE AVE, THEW ELEMENTARY SCHOOL, TEMPE, AZ 85281-4818
(480) 730-7000
Mailing address
3205 S RURAL RD, TEMPE ELEMENTARY SCHOOL DISTRICT # 3, TEMPE, AZ 85282-3853
(480) 730-7287
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
3489934
AZ
Other
Enumeration date
10/23/2009
Last updated
10/23/2009
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