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1023369675
MARY ANGELA MACCULLOCH
FORT DRUM, NY
NPI
1023369675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 075757-1)
Enumeration Date
2012-09-23
Last Update Date
2024-11-22
Business Address
Ms. MARY ANGELA MACCULLOCH LCSW
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602-5438
Phone number: 315-772-7624
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Mailing Address
Ms. MARY ANGELA MACCULLOCH LCSW
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602-5438
Phone number: 315-772-7624
Copy
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