Individual
MARY C CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
1407 CROZET AVE, CROZET, VA 22932-2722
(434) 823-4800
Mailing address
1206 BLAND CIR, CHARLOTTESVILLE, VA 22901-4115
(434) 953-5523
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2203000759
VA
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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