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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 15 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 1164741054 NPPES
Florida Other 002528500 TCM MEDICAID

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