Individual
CANDACE LYNN NOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS SLP
Contact information
Practice address
311 CAMELOT DR, COLLINSVILLE, IL 62234-4815
(618) 531-8800
Mailing address
102 EMERY ST, COLLINSVILLE, IL 62234-5003
(618) 531-8800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.000490
IL
Other
Enumeration date
06/11/2007
Last updated
12/07/2017
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