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1215119094
CANDACE SARACENO REVERE
HAMMOND, LA
NPI
1215119094
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 5664)
Enumeration Date
2007-12-03
Last Update Date
2020-08-18
Business Address
Ms. CANDACE SARACENO REVERE CCC-SLP
11404 JERUSALEM BAPTIST CHURCH RD
HAMMOND, LA 70403-1940
Phone number: 985-402-0507
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Mailing Address
Ms. CANDACE SARACENO REVERE CCC-SLP
11404 JERUSALEM BAPTIST CHURCH RD
HAMMOND, LA 70403-1940
Phone number: 985-402-0507
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