Individual
CANDAS SMITH-WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
901 DULANEY VALLEY RD, SUITE 129, TOWSON, MD 21204-2600
(410) 832-2729
(410) 832-5783
Mailing address
901 DULANEY VALLEY RD, SUITE 129, TOWSON, MD 21204-2600
(410) 832-2729
(410) 832-5783
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
08992
MD
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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