Individual
CANDACE GRAVES CHRISTIANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
110 PIPEMAKERS CIR STE 115, POOLER, GA 31322-4168
(912) 988-1526
Mailing address
128 OAKESDALE DR, OKATIE, SC 29909-7818
(843) 298-1617
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP011474
GA
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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