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Organization
MARY MCMILLAN LCSW
Active
Organization
MARY MCMILLAN LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY MCMILLAN LCSW (OWNER)
(630) 399-2935
Entity
Organization
Contact information
Practice address
143 FIRST ST STE 202, BATAVIA, IL 60510-3102
(630) 399-2935
(815) 727-4855
Mailing address
PO BOX 392, NORTH AURORA, IL 60542-0138
(630) 399-2935
(815) 727-4855
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149012301
IL
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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