Individual
MS. CANDACE FRANCENE AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
724 DODGE AVE, EVANSTON, IL 60202-1965
(847) 533-1729
Mailing address
724 DODGE AVE, EVANSTON, IL 60202-1965
(847) 533-1729
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/15/2009
Last updated
09/17/2009
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