Individual
CANDACE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4207 W MISSION LN, PHOENIX, AZ 85051-3256
(602) 475-6982
Mailing address
6628 W ADAMS ST, PHOENIX, AZ 85043-5069
(602) 475-6982
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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