Samuel, Candace Lorraine
Samuel, Candace Lorraine is an sole proprietor health care provider with primary practice located at 1210 Nw 166Th Ave , Pembroke Pines FL 33028-1342. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Samuel, Candace Lorraine can be contacted via phone (954) 443-0904.Contact Information
Primary practice address
1210 Nw 166Th Ave
Pembroke Pines FL 33028-1342
Phone: (954) 443-0904
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1164741054 |
|---|---|
| LBN Legal business name | Samuel, Candace Lorraine |
| Credentials | Bachelor of Social Work (BSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2010 |
| Last updated | Nov 12th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164741054 | NPPES |
| Florida | Other | 002528500 | TCM MEDICAID |
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