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Individual

TONYA LATREASE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BA, CDPT

Contact information

Practice address
24823 PACIFIC HWY S, KENT, WA 98032-5478
(253) 681-0010
(253) 681-0014
Mailing address
24823 PACIFIC HWY S, KENT, WA 98032-5478
(253) 681-0010
(253) 680-0014

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
10/17/2017
Last updated
10/17/2017
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