Individual
MS. CANDACE ESTEE HERCULES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP, CDP
Contact information
Practice address
5550 CARDINAL PL, ALEXANDRIA, VA 22304-8716
(703) 940-3300
Mailing address
253 TAFT CT APT B8, BATTLE CREEK, MI 49014-4458
(347) 737-6818
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202010986
VA
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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