Organization
DAMON GRAHAM JR
Active
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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