Individual
MRS. MICHELE MARIE CALLAGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2472 ASHMUN ST, SAULT SAINTE MARIE, MI 49783-3768
(906) 259-3073
Mailing address
2472 ASHMUN ST, SAULT SAINTE MARIE, MI 49783-3768
(906) 259-3073
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7153000074
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7153000074
—
MI
Enumeration date
12/09/2022
Last updated
12/09/2022
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