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1710523378
JERRY ALLEN CALLAHAN
SEATTLE, WA
NPI
1710523378
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-11-19
Last Update Date
2019-11-19
Business Address
JERRY ALLEN CALLAHAN
325 9TH AVE
SEATTLE, WA 98104-2420
Phone number: 206-744-9728
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Mailing Address
JERRY ALLEN CALLAHAN
1005 NE BOAT ST STE 2
SEATTLE, WA 98105-6629
Phone number: 206-898-5880
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