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Individual

MRS. CARLA FAY KANDEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSWR

Contact information

Practice address
4 SHADY RIDGE LN, SPRING VALLEY, NY 10977-1130
(845) 354-6387
(845) 354-6387
Mailing address
4 SHADY RIDGE LN, SPRING VALLEY, NY 10977-1130
(845) 354-6387
(845) 354-6387

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PR021076-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
236505
MAGELLAN
NY
01
7672237
AETNA
NY
Enumeration date
10/13/2006
Last updated
07/08/2007
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