Individual
CANDICE DANIELLE SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
936 BROADWAY FL 2, NEW YORK, NY 10010-8104
(212) 879-4900
(212) 744-0206
Mailing address
936 BROADWAY FL 2, NEW YORK, NY 10010-8104
(212) 879-4900
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
104894
NY
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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