Individual
MRS. CANDICE ROSENBLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1403 N CAUSEWAY BLVD, MANDEVILLE, LA 70471-3103
(985) 264-1619
Mailing address
1403 N CAUSEWAY BLVD, MANDEVILLE, LA 70471-3103
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1791
LA
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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