Individual
MS. CANDICE MARIE MIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CSW
Contact information
Practice address
501 DARBY CREEK RD STE 62, LEXINGTON, KY 40509-2611
(859) 303-8006
Mailing address
2500 ALUMNI DR APT 2104, LEXINGTON, KY 40517-3967
(859) 351-2311
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
255533
KY
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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