Individual
CANDACE JANAE LASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3 QUEENS ST, HUNTINGTON, NY 11743-3724
(631) 923-5438
Mailing address
3 QUEENS ST, HUNTINGTON, NY 11743-3724
(631) 923-5438
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
123006
NY
Other
Enumeration date
04/17/2024
Last updated
06/18/2025
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