Individual
DR. CANDICE NICOLE CLAIBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
701 BROAD ST STE 350, ROME, GA 30161-3092
(706) 295-2028
(706) 295-2062
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(706) 295-5331
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003955
GA
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
07/29/2010
Last updated
02/21/2019
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