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Individual
THERESA A CALLENDER
Active
Individual
THERESA A CALLENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, PA-C
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
SW10945
FL
363A00000X
Physician Assistant
Primary
PA2013
ME
Other
Enumeration date
08/04/2006
Last updated
01/30/2020
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