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Individual

MICHAEL S MILLIGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
601 POLE LINE RD, TWIN FALLS, ID 83301-4085
(208) 814-7600
Mailing address
1176 STARFIRE ST, TWIN FALLS, ID 83301-3146
(208) 421-7024

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-39077
ID
1041C0700X
Clinical Social Worker

Other

Enumeration date
12/14/2020
Last updated
12/17/2020
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