Individual
CANDACE JANELLE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-A
Contact information
Practice address
401 MOYE BLVD., GREENVILLE VA HEALTH CARE CENTER, GREENVILLE, NC 27834-5583
(252) 830-2149
Mailing address
2764 MERIDIAN DR, APT.4, GREENVILLE, NC 27834-5583
(919) 356-0571
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P009073
NC
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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