Individual
CANDACE SAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
6101 HAVELOCK AVE, SUITE 2A, LINCOLN, NE 68507-1268
(702) 353-0952
(844) 329-1465
Mailing address
6101 HAVELOCK AVE, SUITE 2A, LINCOLN, NE 68507-1268
(702) 353-0952
(844) 329-1465
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1611
NE
1041C0700X
Clinical Social Worker
Primary
1483
NE
Other
Enumeration date
11/05/2013
Last updated
12/31/2015
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