Individual
CANDICE NICOLE EVANS
Active
Individual
CANDICE NICOLE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2019042942
MO
1041C0700X
Clinical Social Worker
34007503A
IN
1041C0700X
Clinical Social Worker
4088
KY
Other
Enumeration date
06/01/2007
Last updated
06/21/2024
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