Individual
CANICE CLARICE MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
607 HAMMOND PLZ, HOPKINSVILLE, KY 42240-4971
(270) 881-9551
Mailing address
3440 HICKORY GLEN DR, CLARKSVILLE, TN 37040-5738
(931) 257-8408
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/18/2020
Last updated
10/16/2020
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