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Individual
MICHAEL MANCHESTER-MILES
Active
Individual
MICHAEL MANCHESTER-MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW, LADC-I
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15623
MA
1041C0700X
Clinical Social Worker
Primary
LICSW1121572
MA
Other
Enumeration date
09/24/2019
Last updated
09/05/2025
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