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Individual
MARY S CALLAHAN
Active
Individual
MARY S CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
106702
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2193145
CIGNA BEHAVIORAL HEALTH
MA
01
—
468753
TUFTS HEALTH PLAN
MA
01
—
P05783
BC BS OF MASSACHUSETTS
MA
Enumeration date
07/19/2006
Last updated
10/13/2010
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