Individual
CANDACE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
96 SOUTH ST, WARE, MA 01082-1616
(413) 967-6241
Mailing address
44 POWELL AVE, SPRINGFIELD, MA 01118-2166
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1300881
—
MA
Enumeration date
01/06/2010
Last updated
01/06/2010
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