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Individual

JULIA MARLENE MCMILLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
5984 S SUSQUEHANNA, MURRAY, UT 84123-5527
(801) 656-7373
Mailing address
5984 S SUSQUEHANNA, MURRAY, UT 84123-5527
(801) 656-7373

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5603918-4102
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12120690
ASHA NUMBER
Enumeration date
05/01/2018
Last updated
05/01/2018
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