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Individual

MRS. CANDIDA WILTSHIRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, LISW-CP

Contact information

Practice address
921 RIBAUT RD, BEAUFORT, SC 29902-5441
(716) 942-5166
Mailing address
25 THURMOND WAY UNIT 1242, BLUFFTON, SC 29910-9151
(716) 942-5166

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13266
SC
1041C0700X
Clinical Social Worker
44SC05848600
NJ

Other

Enumeration date
04/02/2019
Last updated
05/04/2023
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