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1366950131
BRUCE DORAN CALLAHAN
RICHMOND, VA
NPI
1366950131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA 0710000438)
Enumeration Date
2018-01-16
Last Update Date
2018-01-16
Business Address
Mr. BRUCE DORAN CALLAHAN CSAC
2217 E FRANKLIN ST
RICHMOND, VA 23223-7046
Phone number: 804-213-0249
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Mailing Address
Mr. BRUCE DORAN CALLAHAN CSAC
2217 E FRANKLIN ST
RICHMOND, VA 23223-7046
Phone number: 804-213-0249
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