Individual
MISS JESSICA MARIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLBSW, RAC
Contact information
Practice address
1483 OYSTER LN, HOLLY, MI 48442-8316
(810) 394-7331
Mailing address
1483 OYSTER LN, HOLLY, MI 48442-8316
(810) 394-7331
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802087333
MI
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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