Individual
CANDICE CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1664 E 14TH ST STE 501, BROOKLYN, NY 11229-1149
(718) 954-3800
Mailing address
1664 E 14TH ST, BROOKLYN, NY 11229-1155
(718) 954-3800
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
110127
NY
1041C0700X
Clinical Social Worker
Primary
098410
NY
Other
Enumeration date
09/02/2020
Last updated
10/08/2024
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