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Individual
GERALD EDWARD CALLAHAN III
Active
Individual
GERALD EDWARD CALLAHAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDRC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
10/10/2023
Last updated
11/08/2023
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