Individual
MS. DEITRICH MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1595 S 1ST AVE, YUMA, AZ 85364
(192) 832-9585
Mailing address
1595 S 1ST AVE, YUMA, AZ 85364-4706
(192) 832-9585
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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