Individual
MS. DARRAH L. MCMILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4650 MCMASTERS AVE, HANNIBAL, MO 63401-2244
(573) 221-1258
(573) 221-2994
Mailing address
4650 MCMASTERS AVE, HANNIBAL, MO 63401-2244
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2007028768
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
467616306
—
MO
Enumeration date
12/10/2007
Last updated
12/10/2007
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