Individual
CARLIE CATHERINE MACMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 SOUTHLAKE BLVD STE 202, NORTH CHESTERFIELD, VA 23236-3085
(804) 621-1747
Mailing address
301 SOUTHLAKE BLVD STE 202, NORTH CHESTERFIELD, VA 23236-3085
(804) 621-1747
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202012549
VA
Other
Enumeration date
07/29/2026
Last updated
07/29/2026
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