Individual
KAREN MARIE CALLOCKIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 PARK RD, JACKSON, MI 49203-4938
(517) 782-8888
Mailing address
2100 PARK RD, JACKSON, MI 49203-4938
(517) 782-8888
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12152440
MI
Other
Enumeration date
12/05/2011
Last updated
12/06/2011
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