Individual
CANDICE LISENBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7042 LESTA CT, INDIANAPOLIS, IN 46217-8411
(317) 360-5286
Mailing address
7042 LESTA CT, INDIANAPOLIS, IN 46217-8411
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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