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Organization

KATHRYN MILLER PHD PC

Active
Other names
DEARBORN COUNSELING AND RESOURCE CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
KATHRYN M REILLY PH.D. (PRESIDENT)
(313) 359-1977
Entity
Organization

Contact information

Practice address
2881 MONROE ST, SUITE 201, DEARBORN, MI 48124-3475
(313) 359-1977
Mailing address
2881 MONROE ST, SUITE 201, DEARBORN, MI 48124-3475
(313) 359-1977

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008955
MI
1041C0700X
Clinical Social Worker
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1881718864
INDIVIDUAL NPI
MI
Enumeration date
05/05/2007
Last updated
04/14/2010
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