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1417570730
MADELINE MACMILLIN
TARZANA, CA
NPI
1417570730
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA 94028459)
Enumeration Date
2020-05-20
Last Update Date
2024-11-05
Business Address
MADELINE MACMILLIN Psy.D.
18700 OXNARD ST
TARZANA, CA 91356-1413
Phone number: 818-996-1051
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Mailing Address
MADELINE MACMILLIN Psy.D.
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 800-996-1051
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