Individual
CANDACE PENDERGRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
6801 MEAD ST, DEARBORN, MI 48126-1736
(313) 378-6996
Mailing address
2976 GENEVA ST, DEARBORN, MI 48124-3356
(313) 378-6996
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802089711
MI
Other
Enumeration date
12/07/2016
Last updated
03/10/2020
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