Individual
CANDACE MARIE KNOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATR-BC
Contact information
Practice address
524 PINE ST, JIM THORPE, PA 18229-1510
(570) 778-1541
Mailing address
524 PINE ST, JIM THORPE, PA 18229-1510
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
17-477
PA
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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