Individual
JENNIFER ANN CANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS, ITDS
Contact information
Practice address
434 NW LAKE VALLEY TER, LAKE CITY, FL 32055-8526
(386) 984-0409
(386) 758-1676
Mailing address
434 NW LAKE VALLEY TER, LAKE CITY, FL 32055-8526
(386) 984-0409
(386) 758-1676
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/15/2007
Last updated
09/07/2007
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