Provider Information for 1497896476
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Ms. CYNTHIA RENEE CALLAGHAN LCSW
Sex: Female
Certification Date: 2023-02-08
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1497896476 | ||||||||||||
| Enumeration Date | 2007-02-10 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1040 N PLEASANT AVE FRESNO, CA 93728-2434 United States Phone: 559-930-9327 | Fax:559-000-0000 | ||||||||||||
| Primary Practice Address | 1040 N PLEASANT AVE FRESNO, CA 93728-2434 United States Phone: 559-930-9327 | Fax:559-000-0000 | ||||||||||||
| Secondary Practice Address(es) | 4411 E KINGS CANYON RD 2550 W CLINTON AVE 2550 W CLINTON AVE 1797 SAN JOSE AVE 1797 SAN JOSE AVE 3239 E TENAYA WAY 2361 SAMPLE AVE | ||||||||||||
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