Individual
JULIE DAWN MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
607 BAXTER STREET, JOHNSON CITY, TN 37604
(423) 232-2670
(423) 928-0381
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3696
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW4034
TN
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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