# MARY CANDELARIA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154534105
- **Authorized official:** DR. MARY F CANDELARIA PSYD (OWNER)
- **Authorized official phone:** (425) 347-7275

## Contact information

- **Practice address:** 127 E INTERCITY AVE STE A, EVERETT, WA 98208-2732
- **Practice address phone:** (425) 347-7275
- **Practice address fax:** (425) 355-0626
- **Mailing address:** 127 E INTERCITY AVE STE A, EVERETT, WA 98208-2732
- **Mailing address phone:** (425) 347-7275
- **Mailing address fax:** (425) 355-0626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 2200 | WA | Yes |

## Other

- **Enumeration date:** 05/07/2007
- **Last updated:** 09/18/2008