Individual
CANDACE LAUREN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
919 2ND ST NE, CANTON, OH 44704-1132
(330) 454-7917
Mailing address
6057 DANA RD SW, SHERRODSVILLE, OH 44675-9778
(303) 705-2072
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/31/2018
Last updated
06/13/2022
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