Individual
CANDACE SHERRENE JESSUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9390 RESEARCH BLVD STE 100, AUSTIN, TX 78759-6585
(512) 330-9520
Mailing address
1300 CROSSING PL APT 534D, AUSTIN, TX 78741-1813
(214) 202-6055
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TX
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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