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1063941193
CANDACE LONGO
FRANKLIN, TN
NPI
1063941193
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Former Name
CANDACE WAGNER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TN 5648)
Enumeration Date
2017-06-12
Last Update Date
2023-02-16
Business Address
CANDACE LONGO LCSW
1061 LEWISBURG PIKE
FRANKLIN, TN 37064-6727
Phone number: 615-790-0567
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Mailing Address
CANDACE LONGO LCSW
1113 MURFREESBORO RD STE 319
FRANKLIN, TN 37064-1312
Phone number: 615-790-0567
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