Individual
MRS. CANDICE FERN ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.CCC-SLP/L
Contact information
Practice address
2505 KAITLYN DR, BLOOMINGTON, IL 61704-3435
(309) 661-2720
Mailing address
2505 KAITLYN DR, BLOOMINGTON, IL 61704-3435
(309) 661-2720
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146003760
IL
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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