Individual
DARA MARIAMA CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1099 E ORANGE GROVE BLVD APT 2, PASADENA, CA 91104-4647
(818) 472-0251
Mailing address
1099 E ORANGE GROVE BLVD APT 2, PASADENA, CA 91104-4647
(818) 472-0251
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 15108
CA
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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