Individual
MRS. PHYLLIS JEANNE CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15870 ROUTE 322, STE. 2, CLARION, PA 16214-6376
(814) 764-6066
(814) 764-5669
Mailing address
15870 ROUTE 322, STE. 2, CLARION, PA 16214-6376
(814) 764-6066
(814) 764-5669
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012909910001
—
PA
Enumeration date
11/21/2007
Last updated
11/21/2007
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