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Individual

CANDICE SMALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6900 ORCHARD LAKE RD, WEST BLOOMFIELD, MI 48322-3405
(248) 855-4480
Mailing address
6900 ORCHARD LAKE RD, WEST BLOOMFIELD, MI 48322-3405

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004543
MI

Other

Enumeration date
10/16/2018
Last updated
10/16/2018
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