Individual
JESSICA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-8010
(616) 456-6396
Mailing address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-8010
(616) 456-6396
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801092110
MI
Other
Enumeration date
04/19/2011
Last updated
04/19/2011
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