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1235792490
SHONTAE LATRICE MILLER
DETROIT, MI
NPI
1235792490
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225800000X Recreation Therapist
(Licence: 80381)
Enumeration Date
2019-04-15
Last Update Date
2019-04-15
Business Address
SHONTAE LATRICE MILLER
19733 ANNCHESTER RD
DETROIT, MI 48219-2191
Phone number: 248-238-0426
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Mailing Address
SHONTAE LATRICE MILLER
19733 ANNCHESTER RD
DETROIT, MI 48219-2191
Phone number: 248-238-0426
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