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Individual

JULIETTE CANDELA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, MT-BC, NMT

Contact information

Practice address
623 SW 5TH AVE, FORT LAUDERDALE, FL 33315-1023
(973) 954-1520
Mailing address
623 SW 5TH AVE, FORT LAUDERDALE, FL 33315-1023

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
15792
FL
225A00000X
Music Therapist
15792
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
128851900
FL
Enumeration date
10/09/2025
Last updated
12/03/2025
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