Individual
CAROLINE RENEE CALLAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
20411 W 12 MILE RD STE 101, SOUTHFIELD, MI 48076-6404
(866) 703-1901
Mailing address
20411 W 12 MILE RD STE 101, SOUTHFIELD, MI 48076-6404
(866) 703-1901
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6352000248
MI
225A00000X
Music Therapist
—
OR
Other
Enumeration date
09/05/2017
Last updated
12/04/2020
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