Individual
CANDACE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6155 SILVER SPUR DR, LITHONIA, GA 30058-6127
(813) 368-3063
Mailing address
6155 SILVER SPUR DR, LITHONIA, GA 30058-6127
(813) 368-3063
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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