| Catherine Callender Llc | |
|
134 Fairmont St Ste E Clinton MS 39056-4739 | |
| (601) 925-8194 | |
| (601) 925-8196 |
| Full Name | Catherine Callender Llc |
|---|---|
| Speciality | Social Worker |
| Location | 134 Fairmont St, Clinton, Mississippi |
| Authorized Official Name and Position | Catherine Callender (OWNER) |
| Authorized Official Contact | 6019258194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catherine Callender Llc 134 Fairmont St Ste E Clinton MS 39056-4739 Ph: (601) 925-8194 | Catherine Callender Llc 134 Fairmont St Ste E Clinton MS 39056-4739 Ph: (601) 925-8194 |
| NPI Number | 1851668131 |
|---|---|
| Provider Enumeration Date | 11/30/2011 |
| Last Update Date | 11/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851668131 | NPI | - | NPPES |
| 1174652523 | Other | MS | MEDICARE |
| 00123406 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | C3503 (Mississippi) | Primary |
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