Individual
MISS CAROLYN D MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
1804 E 55TH ST, CLEVELAND, OH 44103-3602
(216) 399-1473
Mailing address
323 FREDA LN, BEDFORD, OH 44146-3285
(216) 399-1473
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
183080
OH
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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