Individual
MS. MARY SUSANNE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.L.P.
Contact information
Practice address
N15019 HANNAHVILLE B1 RD., WILSON, MI 49896
(906) 466-2878
(906) 466-9144
Mailing address
8191 41.5 RD, RAPID RIVER, MI 49878-9719
(906) 446-3658
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301008913
MI
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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