Individual
CANDACE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3088 PHEASANT DR, DECATUR, GA 30034-4303
(404) 721-3789
Mailing address
PO BOX 360691, DECATUR, GA 30036-0691
(404) 721-3789
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008283
GA
Other
Enumeration date
01/10/2017
Last updated
07/06/2021
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