Individual
CANDACE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7101
(501) 526-8100
(501) 526-5296
Mailing address
1210 WOLFE ST., SLOT 654, LITTLE ROCK, AR 72202
(501) 364-5150
(501) 364-3966
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4509-C
AR
Other
Enumeration date
07/12/2020
Last updated
08/07/2020
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