Individual
STEPHEN CALDERALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9012 BRANTLEY CT, INDIAN LAND, SC 29707-6069
(561) 859-3240
Mailing address
9012 BRANTLEY CT, INDIAN LAND, SC 29707-6069
(561) 859-3240
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.7299
SC
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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