Individual
TIFFANY CALLAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
344 FRONT ST STE A, KETCHIKAN, AK 99901-6431
(360) 726-3108
Mailing address
9345 CENTER CT, JUNEAU, AK 99801-9633
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
199291
AK
Other
Enumeration date
11/21/2019
Last updated
09/20/2024
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