Individual
AMBER MIRACLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35425 W MICHIGAN AVE, WAYNE, MI 48184-9800
(734) 904-7851
Mailing address
1120 NORTHWOOD DR, INKSTER, MI 48141-1769
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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