Individual
AMY MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, QMHP
Contact information
Practice address
19805 FARMINGTON RD, LIVONIA, MI 48152-1444
(248) 536-5085
Mailing address
22170 W 9 MILE RD, SOUTHFIELD, MI 48033-6007
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
171M00000X
MI
Other
Enumeration date
02/25/2014
Last updated
02/18/2019
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