Individual
MR. JOHN EDWIN MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
2009 BENNING RD NE, WASHINGTON, DC 20002-4725
(202) 396-4440
(202) 396-7505
Mailing address
1213 OWEN PL NE, WASHINGTON, DC 20002-2807
(202) 390-8157
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC300666
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22822
CHARTERED HEALTHCARE
DC
Enumeration date
05/08/2007
Last updated
07/13/2012
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