Most Relevant Information
Provider Data
| NPI Number: | 1003453101 |
| Provider Name: | TANISHA MICHELLE MILLIGAN |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/08/2019 |
| Last Updated: | 12/08/2019 |
Provider Practice Location
3260 SW ROSSER BLVD
PORT ST LUCIE
FL
349534719
Practice Location Phone/Fax
| Phone: | 9103762228 |
| Fax: |
Provider Mailing Location
PO BOX 880014
PORT ST LUCIE
FL
349880014
Provider Mailing Phone/Fax
| Phone: | 9103762228 |
| Fax: |