Individual
CANDACE NUZZO MICHIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11614 SEVEN LOCKS ROAD, IVYMOUNT SCHOOL, ROCKVILLE, MD 20854
(301) 469-0223
Mailing address
5703 45TH AVE, HYATTSVILLE, MD 20781-1581
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01299L
MD
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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