Individual
MS. CANDACE STOUT WIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6300 I-40 W, STE 110, AMARILLO, TX 79106-2523
(806) 356-6592
Mailing address
3202 HAWTHORNE DR, AMARILLO, TX 79109-3416
(806) 352-5507
(806) 356-6567
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
14877
TX
Other
Enumeration date
12/29/2005
Last updated
07/09/2007
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