Kevin Eugene Calliham LCSW

NPI 1134309842 - Social Worker - 1041C0700X

NPI Details
NPI 1134309842
Gender Male
Enumeration Date 11/09/2007
Last Updated 11/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
8530 HOLLOWAY DR
SUITE #305
WEST HOLLYWOOD CA, 90069-2475, US
Phone (310) 652-0113
Fax (310) 652-0113
Business Location
8530 HOLLOWAY DR
SUITE #305
WEST HOLLYWOOD CA, 90069-2475, US
Phone (310) 652-0113
Fax (310) 652-0113
Toxanomy
Taxonomy Code 1041C0700X
License State California
License Number 20978
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According to our database, Mr. Kevin Eugene Calliham LCSW NPI is 1134309842, taxonomy code is 1041C0700X and license number is 20978, license state is located at California. Kevin Eugene Calliham LCSW physically located at 8530 Holloway Dr, West Hollywood CA, 90069-2475. NPI Number Kevin Eugene Calliham LCSW has the Individual type.

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1134309842 NPI number is provided on an as is basis without warranty of any kind. 1134309842 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Eugene Calliham LCSW are for informational purposes only.