Individual
MRS. CANDACE MARY MACINTIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
701 SLATE BELT BLVD, BANGOR, PA 18013-9341
(610) 599-1454
Mailing address
RR 2 BOX 2281, EAST STROUDSBURG, PA 18301-9644
(570) 421-0452
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL003194L
PA
Other
Enumeration date
07/06/2007
Last updated
07/08/2007
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