Individual
MRS. CARRIE ANN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, BCBA
Contact information
Practice address
1525 PAULINE BLVD, ANN ARBOR, MI 48103-5228
(734) 474-2964
(734) 780-7132
Mailing address
1525 PAULINE BLVD, ANN ARBOR, MI 48103-5228
(734) 474-2964
(734) 780-7132
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3878
MI
1041C0700X
Clinical Social Worker
6801089529
MI
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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