Shontae Latrice Miller

NPI #1235792490 in Detroit, Michigan

Provider Information

NPI Number
1235792490
Entity Type
Individual
Name
Shontae Latrice Miller
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Recreation Therapist
Enumeration Date
Apr 15, 2019
Last Updated
Apr 15, 2019

Practice Location

Address
19733 ANNCHESTER RD
ZIP Code
48219-2191
Phone
(248) 238-0426

Specialties & Taxonomy Codes

Specialty
Recreation Therapist

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