Individual
DESIREE MAE ASHWELL MCMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7301 CARMEL EXECUTIVE PARK DR STE 200, CHARLOTTE, NC 28226-4207
(337) 256-1206
Mailing address
1067 ALBANY PARK DR, FORT MILL, SC 29715-8805
(373) 256-1206
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P008177
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C010583
NCSWCLB
NC
Enumeration date
12/10/2014
Last updated
04/11/2018
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