Individual
MRS. CANDACE LASHELL RIDDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
122 OAKLEIGH DR, CLINTON, MS 39056-6038
(601) 955-2709
Mailing address
122 OAKLEIGH DR, CLINTON, MS 39056-6038
(601) 955-2709
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7960
MS
Other
Enumeration date
04/06/2016
Last updated
07/20/2016
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