Individual
PETER JOSEPH CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGSW
Contact information
Practice address
1020 WINCHESTER AVE, MARTINSBURG, WV 25401-1650
(304) 886-4118
(304) 579-8606
Mailing address
PO BOX 1074, MARTINSBURG, WV 25402-1074
(304) 886-4118
(304) 579-8606
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP09966148
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000505
—
WV
Enumeration date
07/12/2005
Last updated
11/18/2019
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