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1427362276
CANDACE BULLARD NELSON
EVERGREEN, AL
NPI
1427362276
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Former Name
CANDACE YVONNE BULLARD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-08-04
Last Update Date
2010-08-04
Business Address
Mrs. CANDACE BULLARD NELSON M.S.
220 MAGNOLIA AVE
EVERGREEN, AL 36401-3156
Phone number: 251-578-4545
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Mailing Address
Mrs. CANDACE BULLARD NELSON M.S.
220 MAGNOLIA AVE
EVERGREEN, AL 36401-3156
Phone number: 251-578-4545
Copy
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