Individual
CANDACE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QBHP
Contact information
Practice address
412 YORK ST, WARREN, AR 71671-3218
(870) 226-9955
Mailing address
412 YORK ST, WARREN, AR 71671-3218
(870) 226-9955
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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