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Individual

CANDACE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
237 FERNWOOD BLVD, FERN PARK, FL 32730
(407) 831-2411
Mailing address
237 FERNWOOD BLVD, FERN PARK, FL 32730-2116

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
FL

Other

Enumeration date
12/05/2017
Last updated
12/05/2017
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  • EDI platform