Individual
MS. CANDICE TISDALE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWC ACSW
Contact information
Practice address
408 ALLEGHENY AVE, TOWSON, MD 21204-4252
(443) 798-8832
(443) 660-8113
Mailing address
PO BOX 5521, TOWSON, MD 21285
(443) 798-8832
(443) 660-8113
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13576
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320257229
—
MD
Enumeration date
09/25/2007
Last updated
09/17/2008
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