Individual
CANDICE BOLBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
200 W 58TH ST APT 12A, NEW YORK, NY 10019-1477
(914) 672-6841
Mailing address
200 W 58TH ST APT 12A, NEW YORK, NY 10019-1477
(914) 672-6841
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
064758-1
NY
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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