CANDICE LOUISE

MARINA DEL REY, CA
NPI1578575080
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-26009)
Enumeration Date2006-08-13
Last Update Date2016-01-14
Business Address
Ms. CANDICE LOUISE LCSW
4015 VIA MARINA APT B208
MARINA DEL REY, CA 90292-4404
Phone number: 208-871-0899
Mailing Address
Ms. CANDICE LOUISE LCSW
4015 VIA MARINA APT B208
MARINA DEL REY, CA 90292-4404
Phone number: 208-871-0899