Doctor Name: | MS. KATHERINE MILLIGAN |
NPI Number: | 1033150453 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | C634 |
Business Practice Address: | 314 Mdos/sgoho 1090 Arnold Drive Little Rock Afb, AR - 720990001 |
Business Phone Number: | 5019877377 |
Business Fax Number: | 5019878852 |
Mailing Address: | 13 Wildwood Cv, CABOT |
State: | AR |
Postal Code: | 720239334 |
Phone Number: | 5018437168 |
Fax Number: | |
NPI Enumeration Date: | 06/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C634 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |