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Individual
MRS. SANDRA JOHNSON MCMAHON
Active
Individual
MRS. SANDRA JOHNSON MCMAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1633
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2107508
CIGNA
—
01
—
261693
COMPYSCH
—
01
—
342868
MANAGED HEALTH NETWORK
—
01
—
466489
VALUOPTIONS
—
01
—
Y584446A
HEALTH PLAN
OH
Enumeration date
01/22/2007
Last updated
07/08/2007
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