Individual
JENNIFER LYNN CANDICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
556 LEFFINGWELL AVE FL 2, KIRKWOOD, MO 63122-6453
(314) 301-9300
(314) 301-9304
Mailing address
556 LEFFINGWELL AVE FL 2, KIRKWOOD, MO 63122-6453
(314) 301-9300
(314) 301-9304
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2013022897
MO
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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