Individual
MS. SOPHIE ANN CANADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR, LPC
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
221700000X
IL
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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