Individual
MRS. CANDACE LYNNE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
149 N MAIN ST, FAIRPORT, NY 14450-1434
(585) 377-2230
Mailing address
77 FOREST GLEN DR, ROCHESTER, NY 14612-2280
(585) 368-0938
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NY
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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