Organization
CANDACE CREW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE CREW LCSW-C (CLINICAL THERAPIST)
(443) 804-2583
Entity
Organization
Contact information
Practice address
4500 BLACK ROCK RD STE 103, HAMPSTEAD, MD 21074-2649
(443) 804-2583
Mailing address
2801 MATTINGLY DR, MANCHESTER, MD 21102-1880
(443) 804-2583
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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