Cassidy Jo Miller

NPI #1003691262 in Gladwin, Michigan

Provider Information

NPI Number: 1003691262
Entity Type: Individual
Name: Cassidy Jo Miller
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 28, 2023
Last Updated: Aug 28, 2023

Practice Location

Address: 1234 W CEDAR AVE
City: Gladwin
State: Michigan
ZIP Code: 48624-1818
Phone: (989) 492-0591

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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