Individual
DEJONE MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17940 FARMINGTON RD STE 302, LIVONIA, MI 48152-3159
(248) 453-7525
Mailing address
11022 OAK LN APT 9307, VAN BUREN TWP, MI 48111-4341
(313) 653-9129
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451022648
MI
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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