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NPI Profile for AMANDA MACMILLAN in ROSEVILLE, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI Number | 1114369816 |
|
| Status | Active | |
| Credentials | MSW (Master of Science in Social Work) | |
| Entity | Individual | |
| Enumeration date | 07/23/2013 | |
| Last updated | 07/23/2013 - About 13 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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AMANDA MACMILLAN
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AMANDA MACMILLAN, MSW