Individual
CANDICE BROOK ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
101 NORTH SECOND STREET, RATON, NM 87740
(575) 445-7090
Mailing address
PO BOX 495, RATON, NM 87740
(575) 312-6210
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NM
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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