Individual
CANDACE L CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSWA
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
11055
SC
104100000X
Social Worker
P007549
NC
1041C0700X
Clinical Social Worker
Primary
11055
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SW1247
—
SC
Enumeration date
08/07/2013
Last updated
06/22/2022
Update your record
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