Individual
MRS. DOMINIQUE MARIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, BCBA
Contact information
Practice address
2400 SCIENCE PKWY, OKEMOS, MI 48864-2560
(517) 927-8696
Mailing address
2400 SCIENCE PKWY, OKEMOS, MI 48864-2560
(517) 927-8696
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
1041C0700X
Clinical Social Worker
6801081451
MI
Other
Enumeration date
04/23/2012
Last updated
11/29/2018
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