Provider Demographics
NPI:1770755266
Name:MILLMAN, JULIE MAE (LCSW)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:MAE
Last Name:MILLMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:MAE
Other - Last Name:WOOLMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5060 ROBERT J. MATHEWS PARKWAY
Mailing Address - Street 2:SUITE 110
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762
Mailing Address - Country:US
Mailing Address - Phone:916-956-5281
Mailing Address - Fax:916-939-9760
Practice Address - Street 1:5060 ROBERT J. MATHEWS PARKWAY
Practice Address - Street 2:SUITE 110
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762
Practice Address - Country:US
Practice Address - Phone:916-956-5281
Practice Address - Fax:916-939-9760
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-25
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS160061041C0700X
CALCS#160061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical