Individual
CANDACE L. DAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
208 E APACHE ST, FARMINGTON, NM 87401-6904
(505) 327-1244
(505) 325-7803
Mailing address
PO BOX 1421, FRUITLAND, NM 87416-1421
(505) 516-7767
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-11254
NM
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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