Individual
CANDACE CASE DEHAVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
6508 GUNN HWY, TAMPA, FL 33625-4022
(813) 963-6923
Mailing address
3113 W CHAPIN AVE, TAMPA, FL 33611-2701
(813) 837-1052
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA1906
FL
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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