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Mary Jane Miles, CDSII

NPI #1083923247 in Lapwai, Idaho

Provider Information

NPI Number
1083923247
Entity Type
Individual
Name
Mary Jane Miles, CDSII
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
CDSII
Enumeration Date
Oct 5, 2010
Last Updated
Oct 5, 2010

Practice Location

Address
111 BEVER GRADE
City
Lapwai
State
Idaho
ZIP Code
83540
Phone
(208) 843-2271

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)

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