Individual
TARA DAWN MILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
5975 PARKWAY NORTH BLVD, 300 D, CUMMING, GA 30040-1226
(678) 628-4918
Mailing address
5975 PARKWAY NORTH BLVD, 300 D, CUMMING, GA 30040-1226
(678) 628-4918
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1191
SC
103T00000X
Psychologist
Primary
PSY003624
GA
Other
Enumeration date
04/23/2012
Last updated
11/14/2012
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