Individual
MS. CANDACE MARIE SHACKELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
121 E CEDAR ST FL 4, FLORENCE, SC 29506-2576
(843) 661-3426
(843) 661-3599
Mailing address
121 E CEDAR ST FL 4, FLORENCE, SC 29506-2576
(843) 661-3426
(843) 661-3599
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
12083093
SC
235Z00000X
Speech-Language Pathologist
Primary
3591
SC
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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