Individual
CANDACE SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 F STREET, BRUNSWICK, GA 31520
(912) 265-2055
(912) 265-2509
Mailing address
707 F STREET, BRUNSWICK, GA 31520
(912) 265-2055
(912) 265-2509
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004711
GA
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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