Individual
CANDICE S CALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 42ND AVE, GULFPORT, MS 39501-2663
(228) 284-5525
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
(601) 705-1901
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6561
MS
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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