Individual
DR. MARY PRATT MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
640 GRISWOLD ST STE 300, NORTHVILLE, MI 48167-1690
(248) 719-5103
Mailing address
640 GRISWOLD ST STE 300, NORTHVILLE, MI 48167-1690
(248) 719-5103
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401009252
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12470227
CAQH
—
Enumeration date
02/03/2006
Last updated
04/28/2021
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