CANDACE NICOLE WALLIS

COOS BAY, OR
NPI1215691597
Former NameCANDACE NICOLE RIEGER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  15085)
Enumeration Date2021-10-24
Last Update Date2021-10-24
Business Address
CANDACE NICOLE WALLIS
125 CENTRAL AVE STE 290
COOS BAY, OR 97420-2342
Phone number: 541-267-2113
Mailing Address
CANDACE NICOLE WALLIS
1600 WOODLAND DR
COOS BAY, OR 97420-2044
Phone number: 727-692-7373
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