Individual
CANDICE NICOLE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3706 EXECUTIVE CENTER DR, SUITE A, MARTINEZ, GA 30907-0958
(706) 863-9699
Mailing address
10175 FORTUNE PKWY, UNIT 903, JACKSONVILLE, FL 32256-6746
(904) 538-0713
(904) 538-0714
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-12835
—
Other
Enumeration date
04/19/2013
Last updated
04/19/2013
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