Individual
STEPHANIE L CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
101 W 18TH ST, LA PORTE, IN 46350-6830
(219) 508-0080
Mailing address
142 BOYD CIR, MICHIGAN CITY, IN 46360-7017
(219) 508-0080
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33009558A
IN
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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