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Search › Wisconsin › 1041C0700X

Kimberly Miller, LCSW, SAC-IT

NPI 1144786658 · on the registry since 2019

Practice

Address
1541 Annex Rd
Jefferson, WI 53549
Phone
(920) 674-3105
Organisation at this address
Jefferson County
Jefferson County
Jefferson County
Jefferson County
Jefferson County
Inferred from a shared address, not stated in the registry.
Clinicians at this address
115

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YA0400X
104100000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-01-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin