Individual
DR. CANDIS MARLO WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8120 MOORSBRIDGE RD, SUITE D, PORTAGE, MI 49024-7414
(269) 598-8942
(269) 323-0358
Mailing address
8120 MOORSBRIDGE RD, SUITE D, PORTAGE, MI 49024-7414
(269) 598-8942
(269) 323-0358
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301007981
MI
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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