CANDACE D FAIR

PERRYVILLE, MO
NPI1942317334
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: MO  005110)
Enumeration Date2006-08-23
Last Update Date2007-07-08
Business Address
-- CANDACE D FAIR LCSW
12 N KINGSHIGHWAY
PERRYVILLE, MO 63775
Phone number: 573-547-3116
Mailing Address
-- CANDACE D FAIR LCSW
214 W ST FRANCIS ST
PERRYVILLE, MO 63775
Phone number: 573-547-1145