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Individual

JOHN MILLIKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1984 ISAAC NEWTON SQ W, 204, RESTON, VA 20190-5038
(703) 464-9700
(703) 464-8669
Mailing address
1984 ISAAC NEWTON SQ WEST, 204, RESTON, VA 20190
(703) 464-9700
(703) 464-8669

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717-001019
VA

Other

Enumeration date
03/03/2015
Last updated
03/03/2015
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