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1770898652
CANDACE CASE DEHAVEN
TAMPA, FL
NPI
1770898652
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA1906)
Enumeration Date
2010-08-16
Last Update Date
2010-08-16
Business Address
-- CANDACE CASE DEHAVEN ms, ccc-slp
6508 GUNN HWY
TAMPA, FL 33625-4022
Phone number: 813-963-6923
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Mailing Address
-- CANDACE CASE DEHAVEN ms, ccc-slp
3113 W CHAPIN AVE
TAMPA, FL 33611-2701
Phone number: 813-837-1052
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