Doctor Name: | MS. MARY MAGALINE MCNELOMS |
NPI Number: | 1073849691 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | SW6731 |
Business Practice Address: | 2804 W Marc Knighton Ct Lecanto, FL - 344616300 |
Business Phone Number: | 3527468000 |
Business Fax Number: | |
Mailing Address: | 3089 Ne 42nd Pl, OCALA |
State: | FL |
Postal Code: | 344798883 |
Phone Number: | 3526294676 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2009 |
NPI Last Update Date: | 11/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SW6731 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |