Provider Information for 1619115425
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Ms. FAY J CALLAM LCSW
Sex: Female
NPI: 1619115425
Last Updated: 2009-02-02
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1619115425 | ||||||||
| Enumeration Date | 2009-02-02 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 19943 WEST PALM BEACH, FL 33416-4943 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 10465 PELICAN DR WELLINGTON, FL 33414-6167 United States Phone: 561-308-9987 | Fax: | ||||||||
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