Organization
CANDELEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE NEWHOUSE (CHIEF EXECUTIVE OFFICER)
(480) 829-0500
Entity
Organization
Contact information
Practice address
777 E THOMAS RD # 200, PHOENIX, AZ 85014-5449
(480) 829-0500
Mailing address
777 E THOMAS RD # 200, PHOENIX, AZ 85014-5449
(480) 829-0500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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