Individual
MRS. CANDACE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7121 MAGNOLIA AVE STE 0, RIVERSIDE, CA 92504-3805
(213) 814-9807
Mailing address
1330 CANE BAY LN, PERRIS, CA 92571-7341
(213) 814-9807
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ASW93785
CA
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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