Individual
CANDICE ANN SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
351 6TH AVE W, BRADENTON, FL 34205-8820
(727) 608-6882
Mailing address
2625 46TH AVE N, SAINT PETERSBURG, FL 33714-3955
(727) 608-6882
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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