Individual
MICHAELA RENEE MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2720 CALIFORNIA RD, ELKHART, IN 46514-1220
(574) 262-5500
Mailing address
2720 CALIFORNIA RD, ELKHART, IN 46514-1220
(574) 262-5500
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
10292105
IN
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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