Individual
JACKLYN MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2120 WASHINGTON BLVD FL 3, ARLINGTON, VA 22204-5718
(703) 228-5150
(703) 228-5234
Mailing address
8221 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4512
(703) 559-3035
(703) 653-6681
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009497
VA
Other
Enumeration date
01/10/2017
Last updated
07/21/2022
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