Individual
MRS. BESSIE R CAQUELARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2704 N OAK ST, BLDG A-2, VALDOSTA, GA 31602-1744
(229) 253-1009
(229) 253-1039
Mailing address
2834 FAWNWOOD CIR, VALDOSTA, GA 31602-4105
(229) 300-3018
(229) 253-1039
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET002134
GA
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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