Individual
MICHELLE CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW, LCSW
Contact information
Practice address
40A WESTWOODS DR, LIBERTY, MO 64068-3519
(816) 781-2349
(816) 792-8232
Mailing address
11027 NORTHRIDGE DR, KANSAS CITY, KS 66109-4905
(913) 961-1719
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2006008200
MO
1041C0700X
Clinical Social Worker
Primary
3614
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200866370A
—
KS
Enumeration date
12/29/2011
Last updated
02/03/2013
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