Individual
RYAN P MCCALLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
786 D ST, JBER, AK 99505-1023
(907) 384-0405
Mailing address
4076 NEELY ROAD, FORT WAINWRIGHT, AK 99703
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
110324
TX
1041C0700X
Clinical Social Worker
Primary
13382587-3501
UT
Other
Enumeration date
05/17/2023
Last updated
11/18/2025
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