Organization
CANDACE SAM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE SAM LICSW (SOCIAL WORKER)
(702) 353-0952
Entity
Organization
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
1041C0700X
Clinical Social Worker
Primary
1483, 1611
NE
Other
Enumeration date
10/06/2015
Last updated
02/09/2016
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