Organization
DAMON GRAHAM JR
Active
Other names
Magella Behavioral Health Consulting
Organization subpart
No
Provider details
NPI number
Authorized official
DAMON GRAHAM JR. LCSW, MPA, MS (CEO)
(229) 224-0655
Entity
Organization
Contact information
Practice address
635 MYRON HART RD, COOLIDGE, GA 31738-2143
(229) 224-0655
(229) 941-5865
Mailing address
635 MYRON HART RD, COOLIDGE, GA 31738-2143
(229) 224-0655
(229) 941-5865
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005767
GA
Other
Enumeration date
07/30/2018
Last updated
03/09/2019
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