Individual
CANDACE E GUTHERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, PIP
Contact information
Practice address
16 MOULTON ST E, DECATUR, AL 35601-2310
(256) 822-2375
Mailing address
16 MOULTON ST E, DECATUR, AL 35601-2310
(256) 822-2375
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3792C
AL
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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