Most Relevant Information
Provider Data
| NPI Number: | 1003464751 |
| Provider Name: | KATHLEEN MARY CALLAHAN |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/27/2019 |
| Last Updated: | 08/27/2019 |
Provider Practice Location
1358 PENNSYLVANIA AVE
MARYSVILLE
MI
480401446
Practice Location Phone/Fax
| Phone: | 8104140714 |
| Fax: |
Provider Mailing Location
1358 PENNSYLVANIA AVE
MARYSVILLE
MI
480401446
Provider Mailing Phone/Fax
| Phone: | 8104140714 |
| Fax: |