Individual
MRS. CANDACE RENATA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC,SLP
Contact information
Practice address
312 VICEROY CURV, STOCKBRIDGE, GA 30281-9140
(504) 491-3332
(877) 578-8794
Mailing address
312 VICEROY CURV, STOCKBRIDGE, GA 30281-9140
(504) 340-4433
(877) 578-3333
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006149
GA
Other
Enumeration date
08/06/2007
Last updated
06/30/2020
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