Individual
CANDICE RENEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9412 BIG HORN BLVD STE 6, ELK GROVE, CA 95758-1101
(916) 226-2833
(916) 226-2804
Mailing address
9412 BIG HORN BLVD STE 6, ELK GROVE, CA 95758-1101
(916) 226-2833
(916) 226-2804
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW94433
CA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
06/24/2019
Last updated
04/22/2020
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