Individual
CANDACE MCKINZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2416 GRANBY ST, SANFORD, FL 32771-9654
(321) 262-2879
(321) 262-2879
Mailing address
2416 GRANBY AVE, SANFORD, FL 32771
(321) 262-2879
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
12/21/2017
Last updated
06/16/2018
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