Individual
CANDACE WAKEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
497 TALCOTT RD, WILLISTON, VT 05495-2028
(802) 879-5812
Mailing address
497 TALCOTT RD, WILLISTON, VT 05495
(802) 879-5812
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
VT
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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