Organization
CATHERINE CALLENDER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHERINE CALLENDER LCSW (OWNER)
(601) 925-8194
Entity
Organization
Contact information
Practice address
134 FAIRMONT ST, STE E, CLINTON, MS 39056-4739
(601) 925-8194
(601) 925-8196
Mailing address
134 FAIRMONT ST, STE E, CLINTON, MS 39056-4739
(601) 925-8194
(601) 925-8196
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C3503
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123406
—
MS
01
—
1174652523
MEDICARE
MS
Enumeration date
11/30/2011
Last updated
11/30/2011
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