Individual
TAMMY LYN LAW-MCMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
524 S 9TH AVE, CALDWELL, ID 83605-5075
(082) 454-8555
Mailing address
608 SPRUCE CREEK DR, NAMPA, ID 83686-9716
(208) 559-5356
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-39858
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-43180
ID
Other
Enumeration date
09/23/2020
Last updated
02/14/2023
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