Individual
COREY MILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10015 OLD COLUMBIA RD STE B215, COLUMBIA, MD 21046-1865
(443) 766-9422
Mailing address
4385 COLLEGE AVE, ELLICOTT CITY, MD 21043-5509
(443) 878-6110
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
09/27/2021
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