Individual
MS. CANDACE DOROTHY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1314 PARK AVE, PLAINFIELD, NJ 07060-3253
(973) 755-3392
(973) 755-4758
Mailing address
26 DRAPER TER, MONTCLAIR, NJ 07042-4440
(973) 583-9604
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00507700
NJ
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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