Individual
CANDACE WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
225 PRESIDENTIAL BLVD, SUTIE 103 OFFICE 211, BALA CYNWYD, PA 19004-1258
(215) 356-4033
Mailing address
4067 BALWYNNE PARK RD, PHILADELPHIA, PA 19131-1601
(215) 740-4236
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW019813
PA
1041C0700X
Clinical Social Worker
SW126266
PA
1041S0200X
School Social Worker
SW126266
PA
Other
Enumeration date
10/15/2016
Last updated
04/14/2020
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