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Organization

PROSPER HEALTH AND BEHAVIORAL CARE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JULIANA ADA MCCULLOUGH (CEO)
(443) 799-4247
Entity
Organization

Contact information

Practice address
3934 RED DEER CIRCLE, RANDALLSTOWN, MD 21133
(443) 799-4247
Mailing address
3934 RED DEER CIRCLE, RANDALLSTOWN, MD 21133
(443) 799-4247

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
06/26/2023
Last updated
06/26/2023
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