Individual
CANDACE HAYWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
30 C ST NE, MIAMI, OK 74354-6316
(918) 256-7518
Mailing address
13355 S 4410 RD, BLUEJACKET, OK 74333-4348
(918) 323-5227
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203589520
—
OK
Enumeration date
06/14/2010
Last updated
05/19/2011
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