Individual
CANDICE KAY MAIDENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
612 SE JACKSON ST STE 11, ROSEBURG, OR 97470-4956
(541) 464-6455
Mailing address
612 SE JACKSON ST STE 11, ROSEBURG, OR 97470-4956
(541) 464-6455
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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