Individual
MISS HATTIE MILLER-RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
6309 MACK AVENUE, DETROIT, MI 48207-2311
(313) 921-4700
Mailing address
11457 SHOEMAKER ST, DETROIT, MI 48213-3418
(313) 331-3435
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801001763
MSW
MI
Enumeration date
05/02/2007
Last updated
06/13/2014
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