Individual
CASSAUNDRA ELYZABETH MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2775 STATE ROUTE 39, SHELBY, OH 44875-9466
(419) 747-3322
Mailing address
20 MYRTLE DR, SHELBY, OH 44875-1805
(567) 303-2435
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.186261
OH
104100000X
Social Worker
Primary
S.2410517
OH
Other
Enumeration date
12/29/2017
Last updated
04/10/2024
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