Individual
MS. CANDACE LEIGH FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1001 BALTIMORE PIKE STE 208, SPRINGFIELD, PA 19064-2852
(215) 590-7555
Mailing address
1001 BALTIMORE PIKE STE 208, SPRINGFIELD, PA 19064-2852
(215) 590-7555
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904006461
VA
1041C0700X
Clinical Social Worker
Primary
CW020724
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103777332
—
PA
Enumeration date
01/31/2007
Last updated
08/20/2021
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