Individual
MS. SHOINE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16127 RIVERVIEW ST, DETROIT, MI 48219-3722
(313) 721-0146
Mailing address
16127 RIVERVIEW ST, DETROIT, MI 48219-3722
(313) 721-0146
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A6553002
HOME CARE
—
01
—
NONE
NONE
—
Enumeration date
07/09/2018
Last updated
07/09/2018
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