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NPI Code Detail

MEDICARE: KAYLA ANN MILLER LCSW

MEDICARE: KAYLA ANN MILLER LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker12732-123WI

General Provider Information

NPI Number : 1407620958
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA ANN MILLER LCSW
Provider Business Mailing Address
First Line : 511 MADISON AVE
Second Line :
City : FORT ATKINSON
State : WI
Zip : 53538-1444
Country : US
Telephone Number : 920-541-3078
Fax Number :
Provider Business Practice Location Address
First Line : 511 MADISON AVE
Second Line :
City : FORT ATKINSON
State : WI
Zip : 53538-1444
Country : US
Telephone Number : 920-541-3078
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2023
Last Update Date : 01/02/2026

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Directions to “ KAYLA ANN MILLER LCSW” Practice Location

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