DATHAN MCMILLEON

LITTLE ROCK, AR
NPI1518309541
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2013-07-18
Last Update Date2013-07-18
Business Address
-- DATHAN MCMILLEON
6501 W 12TH ST
LITTLE ROCK, AR 72204-1511
Phone number: 501-666-8686
Mailing Address
-- DATHAN MCMILLEON
PO BOX 251970
LITTLE ROCK, AR 72225-1970
Phone number: 501-666-8686
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