Individual
BRENDA LEE CANADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
19 CENTRE ST, DANVERS, MA 01923-1406
(978) 594-7340
Mailing address
19 CENTRE ST, DANVERS, MA 01923-1406
(978) 594-7340
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
117516
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1500
SELF PAY
—
Enumeration date
08/14/2020
Last updated
08/14/2020
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