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Individual
DOLORES JEAN MILLER
Active
Individual
DOLORES JEAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTER SOCIAL WORKER
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2-01286
MI
1041C0700X
Clinical Social Worker
6801098626
MI
Other
Enumeration date
12/12/2011
Last updated
03/17/2018
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