Individual
MRS. AMANDA KAY CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5776 SAINT AUGUSTINE RD, JACKSONVILLE, FL 32207-8030
(904) 448-4700
Mailing address
5776 SAINT AUGUSTINE RD, JACKSONVILLE, FL 32207-8030
(904) 448-4700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
216706
MA
1041C0700X
Clinical Social Worker
Primary
SW11172
FL
Other
Enumeration date
04/08/2011
Last updated
05/05/2015
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