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1902287576
CANDACE KAY LOPEZ
GANADO, AZ
NPI
1902287576
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Former Name
CANDACE KAY CAIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ LMSW-13901)
Enumeration Date
2015-06-09
Last Update Date
2015-06-09
Business Address
Mrs. CANDACE KAY LOPEZ LMSW
ARIZONA HIGHWAY 264 & HIGHWAY 191
GANADO, AZ 86505-0457
Phone number: 928-755-4500
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Mailing Address
Mrs. CANDACE KAY LOPEZ LMSW
PO BOX 457
GANADO, AZ 86505-0457
Phone number: 928-755-4500
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