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Individual

MILLIE GEORGANNA HERRERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D

Contact information

Practice address
4001 STATE HIGHEAY 104, IONE, CA 95640
(209) 274-4911
Mailing address
4001 STATE HIGHEAY 104, IONE, CA 95640
(209) 274-4911

Taxonomy

Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
31316
CA
103TF0200X
Forensic Psychologist

Other

Enumeration date
07/19/2018
Last updated
05/25/2022
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