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NPI Code Detail

MEDICARE: LATOYA M MILLER LSW, CDCA

MEDICARE: LATOYA M MILLER LSW, CDCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorS0901286OH

General Provider Information

NPI Number : 1275810376
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATOYA M MILLER LSW, CDCA
Provider Business Mailing Address
First Line : 1212 CHERRY ST
Second Line :
City : TOLEDO
State : OH
Zip : 43608-2906
Country : US
Telephone Number : 419-693-0631
Fax Number : 419-936-7606
Provider Business Practice Location Address
First Line : 1212 CHERRY ST
Second Line :
City : TOLEDO
State : OH
Zip : 43608-2906
Country : US
Telephone Number : 419-693-0631
Fax Number : 419-936-7606
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2011
Last Update Date : 11/03/2011

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