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Organization

EMOTIONAL SUPPORT QUEER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA MILLER MILLER LCSW (THERAPIST)
(734) 492-5424
Entity
Organization

Contact information

Practice address
7356 E BROOK DR, YPSILANTI, MI 48197-9267
(734) 492-5424
Mailing address
7356 E BROOK DR, YPSILANTI, MI 48197-9267

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
04/21/2026
Last updated
04/21/2026
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