Individual
JANICE FAYE CAQUELARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
504 40TH ST E, TIFTON, GA 31794-1537
(229) 386-1689
Mailing address
504 40TH ST E, TIFTON, GA 31794-1537
(229) 386-1689
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004175
GA
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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