Detiege, Daphne Miller

Detiege, Daphne Miller is an individual health care provider with primary practice located at 908 N 3Rd St , Monroe LA 71201-5844. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Detiege, Daphne Miller can be contacted via phone (318) 325-8748.

Contact Information

Primary practice address
908 N 3Rd St Monroe LA 71201-5844
Phone: (318) 325-8748
Fax: (318) 325-8749
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1073983128
LBN Legal business name Detiege, Daphne Miller
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2015
Last updated Jan 13th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073983128 NPPES
Louisiana Other AN543770 DEPARTMENT OF EDUCATION

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