| NPI | 1063256642 |
|---|---|
| Former Legal Business Name | STACEY M MILLER, LMSW |
| Entity Type | Organization |
| Authorized Contact | STACEY MICHELLE MILLER Owner 785-510-3017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2024-10-17 |