SHONTAE LATRICE MILLER

DETROIT, MI
NPI1235792490
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225800000X Recreation Therapist
(Licence:   80381)
Enumeration Date2019-04-15
Last Update Date2019-04-15
Business Address
SHONTAE LATRICE MILLER
19733 ANNCHESTER RD
DETROIT, MI 48219-2191
Phone number: 248-238-0426
Mailing Address
SHONTAE LATRICE MILLER
19733 ANNCHESTER RD
DETROIT, MI 48219-2191
Phone number: 248-238-0426