Individual
MRS. CANDACE KAY CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
145 W PARKER RD STE A, MORGANTON, NC 28655-4649
(828) 433-5177
(828) 433-1127
Mailing address
145 W PARKER RD STE A, MORGANTON, NC 28655-4649
(828) 433-5177
(828) 433-1127
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
1477
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046N2
BCBS PROVIDER NUMBER
NC
Enumeration date
03/14/2007
Last updated
02/24/2014
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