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Individual

CANDICE WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW-S, LICDC

Contact information

Practice address
49 JOHNSON RD, THE PLAINS, OH 45780-1146
(740) 853-0103
Mailing address
120 W MAIN ST, CIRCLEVILLE, OH 43113-1654

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.2102921
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
280537
OH
Enumeration date
09/26/2017
Last updated
01/19/2024
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