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NPI Code Detail

MEDICARE: KAREN MARIE CALLOCKIO

MEDICARE:   KAREN MARIE CALLOCKIO
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
1235Z00000XSpeech-Language Pathologist12152440MI

General Provider Information

NPI Number : 1942578034
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN MARIE CALLOCKIO
Provider Business Mailing Address
First Line : 2100 PARK RD
Second Line :
City : JACKSON
State : MI
Zip : 49203-4938
Country : US
Telephone Number : 517-782-8888
Fax Number :
Provider Business Practice Location Address
First Line : 2100 PARK RD
Second Line :
City : JACKSON
State : MI
Zip : 49203-4938
Country : US
Telephone Number : 517-782-8888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2011
Last Update Date : 12/06/2011

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Directions to “ KAREN MARIE CALLOCKIO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.