John Walton Macmillen JR., LCSW

NPI #1093738221 in Mill Hall, Pennsylvania

Provider Information

NPI Number: 1093738221
Entity Type: Individual
Name: John Walton Macmillen JR., LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jul 26, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 186 BEAGLE RD
City: Mill Hall
State: Pennsylvania
ZIP Code: 17751-9492
Phone: (570) 726-3904

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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