Individual
CANDACE MARIE CONANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 N SUPERIOR AVE STE 13, TOMAH, WI 54660-1192
(608) 387-9638
Mailing address
410 FILLMORE ST, BLACK RIVER FALLS, WI 54615-1642
(715) 896-8771
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19293-130
WI
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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