Individual
CANDY TAYLOR-CEBALLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 MAGAW PL APT 4E, NEW YORK, NY 10033-5240
(929) 303-4663
Mailing address
21 MAGAW PL APT 4E, NEW YORK, NY 10033-5240
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
101734
CA
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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