Individual
KATRINA MCMILLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
361 TOWNE CENTER PL STE 1300, RIDGELAND, MS 39157-4866
(601) 977-9353
Mailing address
2449 NOTTINGHAM RD, JACKSON, MS 39211-4927
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M5615
MS
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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