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1023557865
MICHAEL PATRICK MCCALLUM
OLIVE BRANCH, MS
NPI
1023557865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-02-13
Last Update Date
2017-02-13
Business Address
-- MICHAEL PATRICK MCCALLUM MS
9320 RAILROAD AVE.
OLIVE BRANCH, MS 38654
Phone number: 662-893-1308
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Mailing Address
-- MICHAEL PATRICK MCCALLUM MS
9320 RAILROAD AVE.
OLIVE BRANCH, MS 38654
Phone number: 662-893-1308
Copy
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