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Individual

THERESA A CALLENDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, PA-C

Contact information

Practice address
11 MEDICAL CENTER DR, BRUNSWICK, ME 04011-3061
(207) 373-9417
Mailing address
11 MEDICAL CENTER DR, BRUNSWICK, ME 04011-3061
(941) 320-5454

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
SW10945
FL
363A00000X
Physician Assistant
Primary
PA2013
ME

Other

Enumeration date
08/04/2006
Last updated
01/30/2020
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