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Organization

CANDACEDWITTENLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CANDACE DAMARIS WITTEN LCSW (LCSW/OWNER)
(818) 527-2039
Entity
Organization

Contact information

Practice address
14335 SHERMAN WAY APT 104, VAN NUYS, CA 91405-2456
(818) 527-2039
Mailing address
14335 SHERMAN WAY APT 104, VAN NUYS, CA 91405-2456
(818) 527-2039

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
01/12/2022
Last updated
01/12/2022
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