Individual
MR. CEDRICK QUICKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5407 KILLARNEY AVE, FORT PIERCE, FL 34951-5002
(772) 480-3759
Mailing address
5407 KILLARNEY AVE, FORT PIERCE, FL 34951-5002
(772) 480-3759
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SI3112
FL
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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