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1265964209
DERRICK JAMES MILLER
SAINT CLAIR SHORES, MI
NPI
1265964209
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801105548)
Enumeration Date
2017-03-29
Last Update Date
2022-06-20
Business Address
DERRICK JAMES MILLER
23411 JEFFERSON AVE STE 107
SAINT CLAIR SHORES, MI 48080-1949
Phone number: 313-618-9762
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Mailing Address
DERRICK JAMES MILLER
22328 TROMBLY ST
SAINT CLAIR SHORES, MI 48080-1362
Phone number:
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