Individual
CANDICE N. SPEIDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1239 WOODLAND DR STE 103, ELIZABETHTOWN, KY 42701-2770
(270) 506-2730
Mailing address
111 CROGHAN WAY, VINE GROVE, KY 40175-9724
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
KY
1041C0700X
Clinical Social Worker
Primary
254960
KY
Other
Enumeration date
09/08/2017
Last updated
07/09/2020
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