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Individual

DANIELLE KAY MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
TLLP

Contact information

Practice address
6425 SCHAEFER RD STE 2, DEARBORN, MI 48126-1974
(313) 846-2606
Mailing address
6549 TOWN CENTER DR STE A, CLARKSTON, MI 48346-4824
(248) 620-6400
(248) 620-6405

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301017119
MI
390200000X
Student in an Organized Health Care Education/Training Program
MI

Other

Enumeration date
06/09/2016
Last updated
07/18/2019
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