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Individual

MR. DERWIN T CALLAHAN

Active
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Individual

MR. DERWIN T CALLAHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
Primary
320700000X
Physical Disabilities Residential Treatment Facility

Other

Enumeration date
10/19/2017
Last updated
12/03/2025
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