Individual
MRS. ETHLYN DAVIS CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACCCSLP
Contact information
Practice address
4624 SUMMERDALE DR, PACE, FL 32571-1368
(850) 994-3456
Mailing address
2210 E MALLORY ST, PENSACOLA, FL 32503-6138
(850) 432-1677
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 1152
FL
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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