Individual
CANDACE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
724 S 1600 W STE 200, MAPLETON, UT 84664-4349
(385) 448-0055
Mailing address
724 S 1600 W STE 200, MAPLETON, UT 84664-4349
(385) 448-0055
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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