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Search › New York › 1041C0700X

Mary Macculloch, LCSW

NPI 1023369675 · on the registry since 2012

Practice

Address
11050 Mount Belvedere Blvd
Fort Drum, NY 13602
Phone
(315) 772-7624
Organisation at this address
Us Army
Ahc Guthrie-Drum
Inferred from a shared address, not stated in the registry.
Clinicians at this address
155

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York