Candice Tetrault
NPI #1780086215 in Nantucket, Massachusetts
Provider Information
- NPI Number
- 1780086215
- Entity Type
- Individual
- Name
- Candice Tetrault
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Enumeration Date
- Sep 16, 2014
- Last Updated
- Sep 16, 2014
Practice Location
- Address
- 20 VESPER LN
- Address 2
- L-1 GOUIN VILLAGE
- City
- Nantucket
- State
- Massachusetts
- ZIP Code
- 02554-4394
- Phone
- (508) 228-2689
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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