Individual
RAEANNE MACMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 TENNENT RD STE 202, MANALAPAN, NJ 07726-3149
(732) 766-1238
Mailing address
710 TENNENT RD STE 202, MANALAPAN, NJ 07726-3149
(732) 766-1238
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
001758
NY
221700000X
Art Therapist
Primary
16LP00016100
NJ
Other
Enumeration date
02/25/2015
Last updated
11/29/2022
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