Individual
CANDIS BRAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8701 GROUSE RUN LN, FAYETTEVILLE, NC 28314-6076
(910) 583-3666
Mailing address
8701 GROUSE RUN LN, FAYETTEVILLE, NC 28314-6076
(910) 583-3666
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12406A
NC
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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