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Individual

CANDACE BRAXTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
17100 E SHEA BLVD STE 600, FOUNTAIN HILLS, AZ 85268-6663
(480) 221-2573
Mailing address
1220 E JUANITA AVE, GILBERT, AZ 85234-3600
(313) 378-8593

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
109913
TX
235Z00000X
Speech-Language Pathologist
Primary
SLP13592
AZ

Other

Enumeration date
06/27/2014
Last updated
07/13/2022
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