Individual
MRS. CANDACE RAJONDA DUCKING ETIENNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
308 AVENUE K SE, WINTER HAVEN, FL 33880-4147
(863) 458-5456
Mailing address
308 AVENUE K SE, WINTER HAVEN, FL 33880-4147
(863) 207-5191
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1203795
FL
251C00000X
Developmentally Disabled Services Day Training Agency
—
FL
343900000X
Non-emergency Medical Transport (VAN)
—
—
372600000X
Adult Companion
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109520700
—
FL
Enumeration date
10/20/2021
Last updated
02/16/2026
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