Individual
CANDICE LARELLE KEYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7375 EXECUTIVE PL STE 203, LANHAM, MD 20706-6236
(301) 970-9678
Mailing address
7375 EXECUTIVE PL STE 203, LANHAM, MD 20706-6236
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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