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1255099545
MAGELLAN PROVIDER SERVICES, P.A.
FRISCO, TX
NPI
1255099545
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Entity Type
Organization
Authorized Contact
RAO HARIS NASEEM
President
940-565-0800
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2021-12-03
Last Update Date
2021-12-03
Business Address
MAGELLAN PROVIDER SERVICES, P.A.
6303 COWBOYS WAY STE 350
FRISCO, TX 75034-0335
Phone number: 866-605-0634
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Mailing Address
MAGELLAN PROVIDER SERVICES, P.A.
8621 ROBERT FULTON DR
COLUMBIA, MD 21046-2620
Phone number:
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