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1457444002
IAN MICHAEL CALLAHAN
PUYALLUP, WA
NPI
1457444002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA MC60329803)
Enumeration Date
2006-10-02
Last Update Date
2013-07-15
Business Address
Mr. IAN MICHAEL CALLAHAN MFT
325 EAST PIONEER AVENUE MULTICARE GOOD SAMARITAN BEHAVIORAL HEALTH
PUYALLUP, WA 98372-3265
Phone number: 253-697-8400
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Mailing Address
Mr. IAN MICHAEL CALLAHAN MFT
930 TACOMA AVE S PIERCE COUNTY JAIL: MENTAL HEALTH
TACOMA, WA 98402-2105
Phone number: 253-798-4013
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