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Individual

CANDICE UPHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
5650 ASTORIA WAY, COLORADO SPRINGS, CO 80919-5401
(480) 277-3563
Mailing address
5650 ASTORIA WAY, COLORADO SPRINGS, CO 80919-5401
(480) 277-3563

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
24427871
CO
235Z00000X
Speech-Language Pathologist
SLP776
AZ

Other

Enumeration date
06/20/2012
Last updated
05/07/2024
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