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Individual
DR. RACQUEL K MILLWOOD
Active
Individual
DR. RACQUEL K MILLWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
019939
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03754345
—
NY
Enumeration date
10/03/2011
Last updated
06/11/2019
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