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Individual

DR. SUSAN LORENE MCMILLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
3724 JEFFERSON ST STE 221, AUSTIN, TX 78731-6221
(512) 453-2935
(512) 467-1577
Mailing address
3724 JEFFERSON ST STE 221, AUSTIN, TX 78731-6221
(512) 453-2935
(512) 467-1577

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
21745
TX

Other

Enumeration date
07/26/2022
Last updated
07/26/2022
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