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1588799068
DAVID JEROME CALLANAN
BALTIMORE, MD
NPI
1588799068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD SC1103)
Enumeration Date
2007-02-23
Last Update Date
2007-07-08
Business Address
-- DAVID JEROME CALLANAN BA, CSC-AD
6401 YORK RD 3RD FLOOR
BALTIMORE, MD 21212-2152
Phone number: 410-887-3828
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Mailing Address
-- DAVID JEROME CALLANAN BA, CSC-AD
717 CAMBERLEY CIR APARTMENT T-2
TOWSON, MD 21204-3844
Phone number: 410-337-6995
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