Individual
MS. CANDECE G TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
463142 STATE ROAD 200, YULEE, FL 32097-5554
(904) 225-8280
(904) 225-8232
Mailing address
463142 STATE ROAD 200, YULEE, FL 32097-5554
(904) 225-8280
(904) 225-8232
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
IMH5491
FL
Other
Enumeration date
01/16/2007
Last updated
02/27/2008
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