Individual
MS. CANDICE V BODIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6900 PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006651
VA
Other
Enumeration date
10/01/2007
Last updated
11/14/2016
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