Davis, Candice Lynn

Davis, Candice Lynn is an individual health care provider with primary practice located at 947 Louisana St , Lawrence KS 66044. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Davis, Candice Lynn can be contacted via phone (785) 312-9800.

Contact Information

Primary practice address
947 Louisana St Lawrence KS 66044
Phone: (785) 312-9800
Fax: (785) 312-9800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2144 Kansas

Profile Details

NPI number 1235107475
LBN Legal business name Davis, Candice Lynn
Credentials MSW LSCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235107475 NPPES
Kansas Other 69503 BLUE CROSS BLUE SHIELD

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