Milicent Ann Mack, LMSW

NPI #1316628829 in Triangle, Virginia

Provider Information

NPI Number: 1316628829
Entity Type: Individual
Name: Milicent Ann Mack, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Jul 27, 2023
Last Updated: Jul 27, 2023

Practice Location

Address: 5009 POTOMAC HIGHLANDS CIR
City: Triangle
State: Virginia
ZIP Code: 22172-1780
Phone: (908) 662-4844

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Social Worker	104100000X	Primary

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