Organization Name: | JOIE ANN MILETICH |
NPI Number: | 1174877211 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOIE ANN MILETICH (OWNER) |
Mailing Address: | 707 Highway 33 S Suite 9b Cloquet |
State: | MN US |
Postal Code: | 557202696 |
Phone Number: | 2188789352 |
Fax Number: | 2188789342 |
NPI Enumeration Date: | 10/27/2012 |
NPI Last Update Date: | 10/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 16849 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |