Individual
CAROL ANNETTE CLARIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
125 EXECUTIVE CIR, DAYTONA BEACH, FL 32114-1180
(386) 253-6868
Mailing address
2835 IVY HILL DR, BUFORD, GA 30519-7923
(786) 202-0644
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA11591
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005621600
—
FL
Enumeration date
01/04/2007
Last updated
07/21/2022
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