Individual
DEBORAH MCMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27 E UPSAL ST, PHILADELPHIA, PA 19119-2336
(267) 205-8757
Mailing address
27 E UPSAL ST, PHILADELPHIA, PA 19119-2336
(267) 205-8757
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW002967E
PA
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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