Individual
COLLEEN KNIEVEL CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3680 S CEDAR ST STE A, TACOMA, WA 98409-5728
(206) 816-2392
(206) 641-9540
Mailing address
3632 S D ST, TACOMA, WA 98418-6812
(858) 386-6889
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/02/2019
Last updated
11/06/2020
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