Provider Demographics
NPI:1376827717
Name:MCGAULLEY, MARILYN E (LMSW)
Entity Type:Individual
Prefix:MS
First Name:MARILYN
Middle Name:E
Last Name:MCGAULLEY
Suffix:
Gender:F
Credentials:LMSW
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Other - Credentials:
Mailing Address - Street 1:900 DUTCHESS TPKE
Mailing Address - Street 2:DUTCHESS BOCES ALTERNATIVE HIGH SCHOOL
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-1554
Mailing Address - Country:US
Mailing Address - Phone:845-486-4840
Mailing Address - Fax:845-486-4852
Practice Address - Street 1:900 DUTCHESS TPKE
Practice Address - Street 2:DUTCHESS BOCES ALTERNATIVE HIGH SCHOOL
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-1554
Practice Address - Country:US
Practice Address - Phone:845-486-4840
Practice Address - Fax:845-486-4852
Is Sole Proprietor?:No
Enumeration Date:2011-10-04
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY72 0213191041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool