Doctor Name: | MARILYN J. MILLIGAN |
NPI Number: | 1134372733 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCS1974 |
Business Practice Address: | 12675 La Mirrada Blvd. Suite 419 La Mirada, CA - 906382200 |
Business Phone Number: | 5629068832 |
Business Fax Number: | 5629068852 |
Mailing Address: | 1530 N. Acacia Ave., FULLERTON |
State: | CA |
Postal Code: | 928311205 |
Phone Number: | 7148712657 |
Fax Number: | |
NPI Enumeration Date: | 10/28/2008 |
NPI Last Update Date: | 10/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS1974 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |