Individual
MRS. CANDI RENEE ECCLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC- SLP
Contact information
Practice address
955 LIBERTY DR, LANCASTER, OH 43130-8045
(740) 653-3193
Mailing address
240 LILLIAN DR, PICKERINGTON, OH 43147-2058
(740) 705-6055
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2802
KS
Other
Enumeration date
09/26/2007
Last updated
12/09/2019
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