Stacey Lillebo-Miller, LICSW

NPI #1093476632 in Coon Rapids, Minnesota

Provider Information

NPI Number
1093476632
Entity Type
Individual
Name
Stacey Lillebo-Miller, LICSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LICSW
Enumeration Date
Jan 5, 2022
Last Updated
Jan 5, 2022

Practice Location

Address
9055 SPRINGBROOK DR NW
ZIP Code
55433-5841
Phone
(763) 780-9155

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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