Individual
MRS. CHACRICE MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8639 PEMBROKE AVE, DETROIT, MI 48221-1180
(877) 463-2269
Mailing address
7439 WOODROW WILSON ST, DETROIT, MI 48206-2682
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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