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Organization
MAGELLAN HEALTHCARE PROVIDER GROUP, INC.
Active
Organization
MAGELLAN HEALTHCARE PROVIDER GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW CUMMINGS (ATTORNEY)
(212) 943-2852
Entity
Organization
Contact information
Practice address
6950 COLUMBIA GATEWAY DR, COLUMBIA, MD 21046-2706
(410) 953-4702
Mailing address
6950 COLUMBIA GATEWAY DR, COLUMBIA, MD 21046-2706
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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