Individual
LACEY RENEE CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA MS MSW, LMSW US
Contact information
Practice address
109 KERR AVE, POTEAU, OK 74953-5270
(580) 579-9226
Mailing address
109 KERR AVE, POTEAU, OK 74953-5270
(580) 579-9226
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
20353
OK
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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