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Individual

MRS. CANDACE M SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4240 ALTAMONT PL STE 101, WHITE PLAINS, MD 20695-3092
(301) 893-2345
Mailing address
1017 MARTIN DR, LA PLATA, MD 20646-5989

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
03147L
MD
235Z00000X
Speech-Language Pathologist
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/21/2025
Last updated
07/02/2025
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