Individual
JORDAN NOELLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3220 DEMING WAY, MIDDLETON, WI 53562-1498
(608) 830-6545
Mailing address
3220 DEMING WAY, MIDDLETON, WI 53562-1498
(608) 830-6545
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
128441-121
WI
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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