Individual
CANDACE MARIE ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
16822 S 2ND PL, PHOENIX, AZ 85048-2045
(480) 460-7880
Mailing address
16822 S 2ND PL, PHOENIX, AZ 85048-2045
(480) 460-7880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-2355
AZ
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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