Individual
HEIDI MICHELE CANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2495 SHREVEPORT HIGHWAY 71 NORTH, ALEXANDRIA, LA 71306-9004
(318) 473-0010
Mailing address
PO BOX 69004, ALEXANDRIA, LA 71306-9004
(318) 473-0010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7651
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
V010100
—
LA
Enumeration date
11/10/2010
Last updated
11/10/2010
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