Individual
MRS. CANDACE SPROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP, OSW-C
Contact information
Practice address
2101 DUTCH FORK RD, CHAPIN, SC 29036-7576
(910) 338-2885
(864) 626-0412
Mailing address
1708 SWEET APPLE CT, FOUNTAIN INN, SC 29644-3433
(864) 905-8802
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8675
SC
Other
Enumeration date
05/11/2017
Last updated
02/11/2020
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