MS. Lysa R Miley

NPI #1205506540 in Ontario, Oregon

Provider Information

NPI Number: 1205506540
Entity Type: Individual
Name: MS. Lysa R Miley
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Sep 17, 2021
Last Updated: Sep 17, 2021

Practice Location

Address: 992 W IDAHO AVE
City: Ontario
State: Oregon
ZIP Code: 97914-2111
Phone: (208) 741-3336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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