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Individual

JAMES WILLIAM MCMILLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
1525 E 53RD ST STE 933, CHICAGO, IL 60615-4572
(708) 990-4305
Mailing address
1525 E 53RD ST STE 933, CHICAGO, IL 60615-4572
(708) 990-4305

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
104100000X
Social Worker
Primary
150.108978
IL

Other

Enumeration date
10/27/2022
Last updated
10/27/2022
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