Individual
CANDICE NACOLE ENZOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
H.S.T
Contact information
Practice address
550 RIVERSTONE PKWY, APT. # D111, CANTON, GA 30114-5661
(770) 875-8153
Mailing address
550 RIVERSTONE PKWY, APT. # D111, CANTON, GA 30114-5661
(770) 875-8153
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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