Individual
AMANDA M MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ART THERAPY
Contact information
Practice address
926 S 8TH STREET, MANITOWOC, WI 54221-1177
(920) 683-4230
(920) 683-4908
Mailing address
PO BOX 1177, 926 S 8TH STREET, MANITOWOC, WI 54221-1177
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3214-226
WI
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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