Individual
CALLIE GRACE MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
17183 I 45 S STE 110, SHENANDOAH, TX 77385-3313
(936) 270-3648
Mailing address
17183 I 45 S STE 110, SHENANDOAH, TX 77385-3313
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
22485
—
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
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