Individual
CAROLYN RITA CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
496 SMITHTOWN BY PASS, SUITE 304, SMITHTOWN, NY 11745
(631) 793-6784
Mailing address
122 CLUBHOUSE DR, PATCHOGUE, NY 11772-8202
(631) 363-3654
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R040727-1
NY
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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