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Individual

MS. KIMBERLY S. MIRON

Active
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Individual

MS. KIMBERLY S. MIRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6801073221
MI
101YM0800X
Mental Health Counselor
6801073221
MI
1041C0700X
Clinical Social Worker
Primary
6801073221
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0960978
BCBS
MI
01
1841555430
RHC MEDICAID NPI NUMBER
MI
05
1992056824
MI
01
23-8646
RHC MEDICARE
MI
01
6801073221
CLINICAL SOCIAL WORKER LICENSE NUMBER
MI
Enumeration date
10/02/2012
Last updated
09/04/2026
About Stedi
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