Individual
MRS. CANDACE MAYBERRY FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
13420 REESE BLVD W, HUNTERSVILLE, NC 28078-7925
(704) 433-6644
(980) 207-2796
Mailing address
13420 REESE BLVD W, HUNTERSVILLE, NC 28078-7925
(704) 433-6644
(980) 207-2796
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P002719
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C006688
LCSW
NC
01
—
P002719
SOCIAL WORK CERTIFICATION AND LICENSURE
NC
Enumeration date
02/11/2009
Last updated
03/20/2017
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