Individual
TAMARA LAKEISHA MCMILLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
J.D., M.S.W.
Contact information
Practice address
3302 LOFTUS CT, INDIANAPOLIS, IN 46268-2798
(317) 340-8368
Mailing address
3302 LOFTUS CT, INDIANAPOLIS, IN 46268-2798
(317) 340-8368
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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