Individual
CANDACE CARITA HALSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9120 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5845
(763) 231-2590
Mailing address
1830 121ST LN NW APT 604, COON RAPIDS, MN 55448-7577
(763) 300-0229
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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