Individual
LAVINA JO MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., L.L.P.
Contact information
Practice address
3760 CLEARY DR, HOWELL, MI 48843-8542
(517) 548-0081
(517) 548-0498
Mailing address
2280 E GRAND RIVER AVE, HOWELL, MI 48843-8503
(517) 546-4126
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301010641
MI
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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