Individual
CARRIE ANN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 LANSING AVE, JACKSON, MI 49202
(517) 784-2929
Mailing address
5311 BROOKLYN ROAD APARTMENT 10, JACKSON, MI 49201
(304) 377-4528
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801105296
MI
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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