Individual
CANDACE SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 NORTH ST STE 10, PITTSFIELD, MA 01201-4127
(413) 448-8291
Mailing address
1548 GAMBIT DR, TROY, MO 63379-2526
(203) 213-3474
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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