Melvin Samuel Miller LMSW

NPI 1699911974 - Social Worker - 104100000X

NPI Details
NPI 1699911974
Gender Male
Enumeration Date 12/17/2008
Last Updated 12/17/2008
Entity Type Individual
Active Over 7 years ago
Practice Location
220 BAGLEY ST
SUITE 1200
DETROIT MI, 48226-1400, US
Phone (313) 961-4890
Fax (313) 961-5120
Business Location
24280 ROUGECREST RD
SOUTHFIELD MI, 48033-2882, US
Phone (313) 875-7601
Fax
Toxanomy
Taxonomy Code 104100000X
License State Michigan
License Number 6801046049
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According to our database, Melvin Samuel Miller LMSW NPI is 1699911974, taxonomy code is 104100000X and license number is 6801046049, license state is located at Michigan. Melvin Samuel Miller LMSW physically located at 220 Bagley St, Detroit MI, 48226-1400. NPI Number Melvin Samuel Miller LMSW has the Individual type.

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1699911974 NPI number is provided on an as is basis without warranty of any kind. 1699911974 is maintained by the National Plan & Provider Enumeration System. The contents of Melvin Samuel Miller LMSW are for informational purposes only.