Individual
CANDACE S SPANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 PHOENIX BLVD STE 410, COLLEGE PARK, GA 30349-5560
(877) 288-4760
Mailing address
2929 PANTHERSVILLE RD APT F15, DECATUR, GA 30034-3007
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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