Individual
MARCOS CHRISTIAN CANDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS-CCC-SLP
Contact information
Practice address
13190 S OUTER 40, CHESTERFIELD, MO 63017-5917
(314) 991-1193
Mailing address
711 AUTUMN GLEN LN, WENTZVILLE, MO 63385-3070
(636) 327-5448
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2004014080
MO
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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