Individual
CANDACE MILTRELLE JULES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
CG61440385
WA
1041C0700X
Clinical Social Worker
Primary
5332C-S
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
DC
01
—
5450G
LICENSE
AL
01
—
568946544
BCBS
—
01
—
5874
HEALTH PARTNERS
—
Enumeration date
09/21/2022
Last updated
12/30/2025
Update your record
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