Individual
KANDACE WADLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4050 E GREENWAY RD STE 4, PHOENIX, AZ 85032-4700
(623) 900-7598
Mailing address
4050 E GREENWAY RD STE 4, PHOENIX, AZ 85032-4700
(623) 900-7598
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/27/2021
Last updated
11/27/2021
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