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Individual

MISS CANDACE NICOLE BRANNON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S, CCLS

Contact information

Practice address
55 BAY DR, UNIT 5201, NICEVILLE, FL 32578-4156
(662) 352-6766
Mailing address
55 BAY DR, UNIT 5201, NICEVILLE, FL 32578-4156
(662) 352-6766

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/06/2008
Last updated
01/06/2008
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