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NPI Code Detail

MEDICARE: KARINA CALIXTO LSW

MEDICARE: KARINA CALIXTO LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1679170138
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARINA CALIXTO LSW
Provider Business Mailing Address
First Line : 1103 SHEPPARD RD
Second Line :
City : VOORHEES
State : NJ
Zip : 08043-4797
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1103 SHEPPARD RD
Second Line :
City : VOORHEES
State : NJ
Zip : 08043-4797
Country : US
Telephone Number : 609-316-8464
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2020
Last Update Date : 10/07/2020

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Directions to “ KARINA CALIXTO LSW” Practice Location

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