Theresa A Callender, LCSW, PA-C

NPI #1962410860 in Brunswick, Maine

Provider Information

NPI Number: 1962410860
Entity Type: Individual
Name: Theresa A Callender, LCSW, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: LCSW, PA-C
Enumeration Date: Aug 4, 2006
Last Updated: Jan 30, 2020

Practice Location

Address: 11 MEDICAL CENTER DR
City: Brunswick
State: Maine
ZIP Code: 04011-3061
Phone: (207) 373-9417

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Physician Assistant	363A00000X	Primary

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