Individual
CANDACE FOLSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 PAMALEE DR, FAYETTEVILLE, NC 28301-2824
(910) 488-8643
(910) 488-8644
Mailing address
3808 BURLINGTON DR, FAYETTEVILLE, NC 28312-7022
(910) 578-0760
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4206
NC
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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