Individual
CANDACE STOUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
428 LOS LENTES RD SE, LOS LUNAS, NM 87031-6018
(505) 865-3350
Mailing address
609 GIRARD BLVD NE, ALBUQUERQUE, NM 87106-2709
(505) 252-0244
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M-09552
NM
1041C0700X
Clinical Social Worker
Primary
C-10696
NM
Other
Enumeration date
09/21/2016
Last updated
05/07/2019
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