Individual
CANDICE TARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
21000 EDUCATION CT, BROADLANDS, VA 20148-5526
(571) 252-1011
Mailing address
21000 EDUCATION CT, BROADLANDS, VA 20148-5526
(571) 252-1011
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/25/2017
Last updated
03/29/2023
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