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Organization

WAYNE MAGEE LCADC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WAYNE MAGEE JR. LCADC (SUBSTANCE ABUSE COUNSELOR)
(856) 332-0290
Entity
Organization

Contact information

Practice address
1665 NORTH AVE, PORT NORRIS, NJ 08349
(856) 332-0290
Mailing address
35 S BURLINGTON RD, BRIDGETON, NJ 08302-2262

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00205500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5312960
AETNA
NJ
Enumeration date
07/15/2014
Last updated
01/21/2015
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