Individual
CANDACE HEATHER GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4125 W SAMPLE RD, COCONUT CREEK, FL 33073-4456
(954) 968-8333
Mailing address
6919 CAMILLE ST, BOYNTON BEACH, FL 33437-6057
(727) 667-9491
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA8622
FL
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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