Individual
MEKESHA CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 WILLIAMS AVE BLDG 1, LAKE PLACID, FL 33852-9411
(863) 260-2084
Mailing address
PO BOX 1425, LAKE PLACID, FL 33862-1425
(863) 260-2084
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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