Mary Mcmillan Lcsw | |
143 First St Ste 202 Batavia IL 60510-3102 | |
(630) 399-2935 | |
(815) 727-4855 |
Full Name | Mary Mcmillan Lcsw |
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Speciality | Social Worker - Clinical |
Location | 143 First St Ste 202, Batavia, Illinois |
Authorized Official Name and Position | Mary Mcmillan (OWNER) |
Authorized Official Contact | 6303992935 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mary Mcmillan Lcsw Po Box 392 North Aurora IL 60542-0138 Ph: (630) 399-2935 | Mary Mcmillan Lcsw 143 First St Ste 202 Batavia IL 60510-3102 Ph: (630) 399-2935 |
NPI Number | 1003145624 |
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Provider Enumeration Date | 12/10/2009 |
Last Update Date | 12/10/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003145624 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149012301 (Illinois) | Primary |
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