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Individual

CYNTHIA R MCMILLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.A.C.

Contact information

Practice address
151 S 4TH ST, SUITE 401, GRAND FORKS, ND 58201-4715
(701) 795-3000
(701) 795-3050
Mailing address
151 S 4TH ST, SUITE 401, GRAND FORKS, ND 58201-4715
(701) 795-3000
(701) 795-3050

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1595
ND

Other

Enumeration date
04/08/2009
Last updated
04/08/2009
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