Individual
CANDICE MIRANDA MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6104 AVENUE Q SOUTH DR, LUBBOCK, TX 79412-3700
(806) 241-2859
(806) 472-3421
Mailing address
6104 AVENUE Q SOUTH DR, LUBBOCK, TX 79412-3700
(806) 241-2859
(806) 472-3421
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
32638
TX
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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