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Individual

MISS KATIE JO CALLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LIMHP, CMSW

Contact information

Practice address
5807 OSBORNE DR W, HASTINGS, NE 68901-9158
(402) 463-5611
(402) 463-9555
Mailing address
5807 OSBORNE DR W, HASTINGS, NE 68901-9158
(504) 319-1570

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
9261
LA
1041C0700X
Clinical Social Worker
Primary
1707
NE

Other

Enumeration date
12/15/2006
Last updated
08/05/2021
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