Individual
MRS. CALLIE NICOLE WOLKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
490 N DIAMOND AVE, CANON CITY, CO 81212-2521
(719) 276-6182
Mailing address
814 DELLA VISTA LN, CANON CITY, CO 81212-8704
(719) 269-6865
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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