Individual
BETTINA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6530 SECOR RD STE 10, LAMBERTVILLE, MI 48144-9456
(419) 260-3637
Mailing address
2240 MELBOURNE AVE APT 1509, DEXTER, MI 48130-1597
(151) 793-7979
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401013399
MI
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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